| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $33.88 | $6,025.60 | |
Medica
| Professional | $10,964.78 | $10,964.78 | $10,964.78 |
Unlisted ophthalmological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $33.88 | $6,025.60 | |
Medica
| Professional | $10,964.78 | $10,964.78 | $10,964.78 |