| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $122.81 | $169.01 | $2,471.00 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $122.81 | $169.01 | $2,471.00 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |