| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.67 | $25.00 | $32.27 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Medica
| Facility | 26 | $33.82 | $100.00 | $100.00 |
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.67 | $25.00 | $32.27 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Medica
| Facility | 26 | $33.82 | $100.00 | $100.00 |