| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,663.40 | $1,663.40 | $1,663.40 | |
United
| Facility | $1,352.00 | $7,103.00 | $7,103.00 |
Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,663.40 | $1,663.40 | $1,663.40 | |
United
| Facility | $1,352.00 | $7,103.00 | $7,103.00 |