| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.62 | $148.62 | $161.72 | |
Kaiser Permanente
| Professional | $130.04 | $157.66 | $225.24 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.62 | $148.62 | $161.72 | |
Kaiser Permanente
| Professional | $130.04 | $157.66 | $225.24 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |