| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $158.49 | $239.88 | |
Horizon BCBS
| Professional | $10.72 | $12.59 | $12.59 | |
United
| Professional | $34.67 | $39.81 | $60.26 |
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 | $15.14 | $158.49 | $239.88 | |
Horizon BCBS
| Professional | $10.72 | $12.59 | $12.59 | |
United
| Professional | $34.67 | $39.81 | $60.26 |