| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.42 | $52.42 | $52.42 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Medcost
| Facility | $52.42 | $58.00 | $93.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Contact Lens, Other Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.42 | $52.42 | $52.42 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Medcost
| Facility | $52.42 | $58.00 | $93.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |