| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.00 | $95.00 | $3,500.00 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,250,000.00 |
Not otherwise classified, single vision lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.00 | $95.00 | $3,500.00 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,250,000.00 |