| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $39.50 | $112.50 | |
CareSource
| Facility | $24.83 | $24.83 | $30.34 | |
CareSource
| Professional | $19.30 | $29.79 | $31.03 | |
Cigna
| Professional | $10.30 | $10.30 | $10.30 |
Unlisted ophthalmological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $39.50 | $112.50 | |
CareSource
| Facility | $24.83 | $24.83 | $30.34 | |
CareSource
| Professional | $19.30 | $29.79 | $31.03 | |
Cigna
| Professional | $10.30 | $10.30 | $10.30 |