| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $239.88 | $288.40 | $1,023.29 |
Medical/Surgical Supplies and Devices-Intraocular Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $239.88 | $288.40 | $1,023.29 |