| 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 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $147.63 | $160.51 | $174.88 | |
Cigna
| Facility | $156.41 | $156.41 | $156.41 |