| 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 | $750.00 | |
Medica
| Facility | $568.46 | $575.28 | $719.10 |
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 | $750.00 | |
Medica
| Facility | $568.46 | $575.28 | $719.10 |