| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.68 | $112.68 | $112.68 | |
CareSource
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
Cigna
| Professional | $14.03 | $14.03 | $14.03 |
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 | $112.68 | $112.68 | $112.68 | |
CareSource
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
Cigna
| Professional | $14.03 | $14.03 | $14.03 |