| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $73.51 | $93.56 | $100.06 | |
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
United
| Facility | $1,035.00 | $1,035.00 | $1,035.00 |
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; limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $73.51 | $93.56 | $100.06 | |
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
United
| Facility | $1,035.00 | $1,035.00 | $1,035.00 |