| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $312.24 | $343.47 | $491.27 | |
Health Partners
| Facility | $312.24 | $312.24 | $386.82 | |
Medica
| Facility | $133.75 | $215.23 | $321.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $312.24 | $343.47 | $491.27 | |
Health Partners
| Facility | $312.24 | $312.24 | $386.82 | |
Medica
| Facility | $133.75 | $215.23 | $321.00 |