| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.23 | $12.23 | $12.23 |
Medcost
| Facility | 26 | $20.00 | $25.00 | $43.63 |
Dacryocstograpy Nasolacrimal Duct Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.23 | $12.23 | $12.23 |
Medcost
| Facility | 26 | $20.00 | $25.00 | $43.63 |