| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.00 | $158.00 | $158.00 | |
Cigna
| Professional | $564.36 | $564.36 | $564.36 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |
Vision Supply Accessory And/Or Service Component Of Another Hcpcs Vision Code
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.00 | $158.00 | $158.00 | |
Cigna
| Professional | $564.36 | $564.36 | $564.36 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |