| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.96 | $14.79 | $91.20 |
Cigna
| Facility | 26 | $13.80 | $13.80 | $21.88 |
Medica
| Facility | 26 | $33.88 | $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 | $10.96 | $14.79 | $91.20 |
Cigna
| Facility | 26 | $13.80 | $13.80 | $21.88 |
Medica
| Facility | 26 | $33.88 | $100.00 | $100.00 |