| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $39.50 | $112.50 | |
Cigna
| Professional | $207.00 | $207.00 | $207.00 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |
Unlisted ophthalmological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $39.50 | $112.50 | |
Cigna
| Professional | $207.00 | $207.00 | $207.00 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |