| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $894.91 | $894.91 | $894.91 | |
Providence
| Facility | $542.72 | $894.91 | $1,120.00 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |
Irdec Crnlsclrl/Crnl Sctj Optical Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $894.91 | $894.91 | $894.91 | |
Providence
| Facility | $542.72 | $894.91 | $1,120.00 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |