| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.28 | $575.28 | $673.70 | |
Kaiser Permanente
| Professional | $200.00 | $200.00 | $200.00 | |
Wellpoint
| Professional | $810.05 | $810.05 | $810.05 |
Prosthetic Eye, Other Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.28 | $575.28 | $673.70 | |
Kaiser Permanente
| Professional | $200.00 | $200.00 | $200.00 | |
Wellpoint
| Professional | $810.05 | $810.05 | $810.05 |