| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.22 | $314.36 | $376.13 | |
Cigna
| Professional | $175.28 | $175.28 | $175.28 | |
United
| Professional | $164.50 | $182.18 | $303.63 |
Fabrication and fitting of ocular conformer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.22 | $314.36 | $376.13 | |
Cigna
| Professional | $175.28 | $175.28 | $175.28 | |
United
| Professional | $164.50 | $182.18 | $303.63 |