| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $712.05 | $712.05 | $712.05 |
Trluml Dilat Aqueous O/F Can W/Retention Dev/St
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $712.05 | $712.05 | $712.05 |