| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $20.26 | $20.26 | $22.29 | |
BCBS
| Professional | $56.56 | $56.56 | $67.54 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Not Otherwise Classified Single Vision Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $20.26 | $20.26 | $22.29 | |
BCBS
| Professional | $56.56 | $56.56 | $67.54 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |