| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.50 | $89.50 | $1,400.00 | |
CareSource
| Facility | $92.35 | $101.33 | $110.39 | |
Cigna
| Facility | $98.68 | $98.68 | $98.68 | |
United
| Facility | $460.00 | $460.00 | $460.00 |
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 | $89.50 | $89.50 | $1,400.00 | |
CareSource
| Facility | $92.35 | $101.33 | $110.39 | |
Cigna
| Facility | $98.68 | $98.68 | $98.68 | |
United
| Facility | $460.00 | $460.00 | $460.00 |