| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.62 | $574.62 | $8,500.00 | |
Medica
| Facility | $574.62 | $811.25 | $1,723.86 | |
United
| Facility | $2,545.00 | $2,545.00 | $4,424.92 |
Irdec Crnlsclrl/Crnl Sctj Optical Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.62 | $574.62 | $8,500.00 | |
Medica
| Facility | $574.62 | $811.25 | $1,723.86 | |
United
| Facility | $2,545.00 | $2,545.00 | $4,424.92 |