| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $141.53 | $180.12 | $192.63 | |
Cigna
| Facility | $156.41 | $156.41 | $156.41 | |
United
| Facility | $1,035.00 | $1,035.00 | $1,035.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $141.53 | $180.12 | $192.63 | |
Cigna
| Facility | $156.41 | $156.41 | $156.41 | |
United
| Facility | $1,035.00 | $1,035.00 | $1,035.00 |