| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medcost
| Facility | $1.00 | $40.00 | $181.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medcost
| Facility | $1.00 | $40.00 | $181.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |