| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.84 | $95.95 | $145.72 | |
BCBS
| Professional | $51.84 | $87.37 | $96.63 | |
Cigna
| Professional | $50.00 | $84.98 | $255.91 | |
United
| Professional | $68.69 | $111.03 | $180.89 |
Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.84 | $95.95 | $145.72 | |
BCBS
| Professional | $51.84 | $87.37 | $96.63 | |
Cigna
| Professional | $50.00 | $84.98 | $255.91 | |
United
| Professional | $68.69 | $111.03 | $180.89 |