| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.28 | $575.28 | $575.28 | |
Aetna
| Professional | $575.28 | $575.28 | $655.69 | |
Medica
| Facility | $575.28 | $575.28 | $900.00 | |
United
| Professional | $755.52 | $785.51 | $799.79 |
Prosthetic Eye, Other Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.28 | $575.28 | $575.28 | |
Aetna
| Professional | $575.28 | $575.28 | $655.69 | |
Medica
| Facility | $575.28 | $575.28 | $900.00 | |
United
| Professional | $755.52 | $785.51 | $799.79 |