| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $29.73 | $29.73 | $29.73 | |
Medica
| Facility | $100.00 | $1,000.00 | $1,000.00 |
Not Otherwise Classified Single Vision Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $29.73 | $29.73 | $29.73 | |
Medica
| Facility | $100.00 | $1,000.00 | $1,000.00 |