| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $147.63 | $160.51 | $174.88 | |
Cigna
| Facility | $156.41 | $156.41 | $156.41 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $147.63 | $160.51 | $174.88 | |
Cigna
| Facility | $156.41 | $156.41 | $156.41 |