| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.38 | $61.86 | $94.98 | |
BCBS
| Professional | $31.16 | $58.15 | $58.68 | |
Cigna
| Professional | $35.00 | $62.22 | $171.02 | |
United
| Professional | $47.07 | $75.56 | $124.45 |
Oph Svcs Medical Xm&Eval Intermediate New Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.38 | $61.86 | $94.98 | |
BCBS
| Professional | $31.16 | $58.15 | $58.68 | |
Cigna
| Professional | $35.00 | $62.22 | $171.02 | |
United
| Professional | $47.07 | $75.56 | $124.45 |