| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $575.44 | |
Aetna
| Professional | $575.44 | $575.44 | $758.58 |
Prosthetic eye, other type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $575.44 | |
Aetna
| Professional | $575.44 | $575.44 | $758.58 |