| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.01 | $24.87 | $49.76 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $17.72 |
Medical Mutual of Ohio
| Facility | 26 | $16.57 | $16.57 | $17.72 |
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.01 | $24.87 | $49.76 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $17.72 |
Medical Mutual of Ohio
| Facility | 26 | $16.57 | $16.57 | $17.72 |