| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.69 | $655.69 | $655.69 | |
Aetna
| Professional | $575.28 | $655.69 | $750.00 | |
Medica
| Facility | $575.28 | $655.69 | $759.90 | |
United
| Professional | $785.51 | $785.51 | $928.33 |
Prosthetic eye, other type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.69 | $655.69 | $655.69 | |
Aetna
| Professional | $575.28 | $655.69 | $750.00 | |
Medica
| Facility | $575.28 | $655.69 | $759.90 | |
United
| Professional | $785.51 | $785.51 | $928.33 |