| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Molina
| Professional | $70.00 | $1,500.00 | $3,500.00 | |
Providence
| Professional | $0.51 | $0.51 | $2,250,000.00 |
Vision item or service, miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Molina
| Professional | $70.00 | $1,500.00 | $3,500.00 | |
Providence
| Professional | $0.51 | $0.51 | $2,250,000.00 |