| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.89 | $20.89 | $30.20 |
Cigna
| Facility | 26 | $38.02 | $44.67 | $70.79 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Quartz
| Facility | 26 | $100.00 | $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 | $20.89 | $20.89 | $30.20 |
Cigna
| Facility | 26 | $38.02 | $44.67 | $70.79 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Quartz
| Facility | 26 | $100.00 | $100.00 | $100.00 |