| 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 | $660.69 | |
Cigna
| Professional | $977.24 | $977.24 | $977.24 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 |
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 | $660.69 | |
Cigna
| Professional | $977.24 | $977.24 | $977.24 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 |