| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $88.28 | $88.28 | $100.86 | |
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
United
| Facility | $850.00 | $986.00 | $6,238.00 |
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 | $88.28 | $88.28 | $100.86 | |
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
United
| Facility | $850.00 | $986.00 | $6,238.00 |