| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $156.41 | $156.41 | $156.41 | |
Priority Health
| Facility | $156.41 | $156.41 | $156.41 |
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $156.41 | $156.41 | $156.41 | |
Priority Health
| Facility | $156.41 | $156.41 | $156.41 |