| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.14 | $17.14 | $17.14 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Health Alliance Plan
| Facility | 26 | $12.25 | $12.25 | $17.14 |
Dacryocstograpy Nasolacrimal Duct Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.14 | $17.14 | $17.14 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Health Alliance Plan
| Facility | 26 | $12.25 | $12.25 | $17.14 |