| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.00 | $102.00 | $102.00 | |
Medica
| Facility | $52.42 | $52.42 | $52.42 |
Contact lens, other type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.00 | $102.00 | $102.00 | |
Medica
| Facility | $52.42 | $52.42 | $52.42 |