| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.95 | $50.12 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Vision item or service, miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.95 | $50.12 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |