| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.36 | $120.36 | $120.36 | |
Cigna
| Professional | $120.36 | $120.36 | $120.36 | |
United
| Professional | $113.28 | $118.00 | $177.00 |
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.36 | $120.36 | $120.36 | |
Cigna
| Professional | $120.36 | $120.36 | $120.36 | |
United
| Professional | $113.28 | $118.00 | $177.00 |