| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.92 | $252.76 | $581.16 | |
Cigna
| Professional | $3,200.00 | $3,200.00 | $3,200.00 | |
Health New England
| Professional | $241.40 | $241.40 | $241.40 |
Unlisted ophthalmological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.92 | $252.76 | $581.16 | |
Cigna
| Professional | $3,200.00 | $3,200.00 | $3,200.00 | |
Health New England
| Professional | $241.40 | $241.40 | $241.40 |