| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $81.69 | $81.69 | $81.69 | |
Medcost
| Facility | $30.00 | $30.00 | $45.00 |
Not Otherwise Classified Single Vision Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $81.69 | $81.69 | $81.69 | |
Medcost
| Facility | $30.00 | $30.00 | $45.00 |