| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.40 | $82.50 | $82.50 | |
Medica
| Professional | $24.00 | $40.00 | $600.00 |
Unlisted ophthalmological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.40 | $82.50 | $82.50 | |
Medica
| Professional | $24.00 | $40.00 | $600.00 |