| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $163.01 | $179.31 | $256.47 | |
Health Partners
| Facility | $163.01 | $163.01 | $201.95 | |
Medica
| Facility | $66.45 | $112.17 | $163.05 |
Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $163.01 | $179.31 | $256.47 | |
Health Partners
| Facility | $163.01 | $163.01 | $201.95 | |
Medica
| Facility | $66.45 | $112.17 | $163.05 |