| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $131.04 | $131.04 | $144.13 | |
Medica
| Facility | $113.37 | $142.80 | $750.00 | |
United
| Facility | $750.00 | $1,300.00 | $3,999.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $131.04 | $131.04 | $144.13 | |
Medica
| Facility | $113.37 | $142.80 | $750.00 | |
United
| Facility | $750.00 | $1,300.00 | $3,999.00 |