| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.57 | $4,791.00 | $10,692.00 | |
United
| Facility | $1,341.00 | $2,626.00 | $5,864.00 |
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 | $111.57 | $4,791.00 | $10,692.00 | |
United
| Facility | $1,341.00 | $2,626.00 | $5,864.00 |