| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $1,000.00 | $2,041.74 | |
United
| Facility | $128.82 | $331.13 | $851.14 |
Use of ophthalmic endoscope (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $1,000.00 | $2,041.74 | |
United
| Facility | $128.82 | $331.13 | $851.14 |