| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $120.26 | $184.69 | $236.40 | |
United
| Facility | $1,150.00 | $1,150.00 | $1,150.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $120.26 | $184.69 | $236.40 | |
United
| Facility | $1,150.00 | $1,150.00 | $1,150.00 |