| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $54.80 | $93.24 | $191.38 | |
United
| Facility | $849.00 | $1,080.00 | $4,103.00 |
Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $54.80 | $93.24 | $191.38 | |
United
| Facility | $849.00 | $1,080.00 | $4,103.00 |