| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.78 | $15.73 | $23.95 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Medcost
| Facility | 26 | $20.00 | $21.71 | $38.57 |
Wellcare
| Facility | 26 | $39.27 | $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 | $12.78 | $15.73 | $23.95 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Medcost
| Facility | 26 | $20.00 | $21.71 | $38.57 |
Wellcare
| Facility | 26 | $39.27 | $100.00 | $100.00 |