| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.50 | $37.50 | $37.50 | |
MVP Health Care
| Professional | $50.00 | $50.00 | $50.00 |
Unlisted Ophthalmological Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.50 | $37.50 | $37.50 | |
MVP Health Care
| Professional | $50.00 | $50.00 | $50.00 |