| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
BCBS
| Professional | $20.95 | $20.95 | $20.95 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Vision Item Or Service Miscellaneous (Revised 12/08/2014)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
BCBS
| Professional | $20.95 | $20.95 | $20.95 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |