| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $60.00 | $330.00 | |
Molina
| Professional | $32.34 | $2,500.00 | $2,500.00 | |
United
| Professional | $40.00 | $40.00 | $40.00 |
Unlisted Ophthalmological Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $60.00 | $330.00 | |
Molina
| Professional | $32.34 | $2,500.00 | $2,500.00 | |
United
| Professional | $40.00 | $40.00 | $40.00 |