| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $7,007.00 | |
Kaiser Permanente
| Professional | $747.52 | $865.55 | $1,652.40 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
Trluml Dilat Aqueous O/F Can W/Retention Dev/St
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $7,007.00 | |
Kaiser Permanente
| Professional | $747.52 | $865.55 | $1,652.40 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |