| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,930.00 | $6,930.00 | $6,930.00 | |
United
| Facility | $864.00 | $960.00 | $7,204.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,930.00 | $6,930.00 | $6,930.00 | |
United
| Facility | $864.00 | $960.00 | $7,204.00 |