| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $34.10 | $112.50 | |
BCBS
| Facility | $131.19 | $131.19 | $131.19 | |
Medica
| Professional | $13.00 | $13.00 | $42.50 |
Unlisted ophthalmological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $34.10 | $112.50 | |
BCBS
| Facility | $131.19 | $131.19 | $131.19 | |
Medica
| Professional | $13.00 | $13.00 | $42.50 |