| 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 | $633.03 | |
Cigna
| Professional | $983.21 | $983.21 | $983.21 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
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 | $633.03 | |
Cigna
| Professional | $983.21 | $983.21 | $983.21 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |