| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $897.62 | $943.39 | $943.39 | |
Cigna
| Professional | $517.14 | $517.14 | $517.14 | |
United
| Professional | $404.83 | $537.49 | $895.82 |
Prosthetic eye, plastic, custom
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $897.62 | $943.39 | $943.39 | |
Cigna
| Professional | $517.14 | $517.14 | $517.14 | |
United
| Professional | $404.83 | $537.49 | $895.82 |