| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
Anthem BCBS
| Professional | $10.05 | $10.05 | $26.25 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medcost
| Facility | $40.00 | $40.00 | $134.00 |
Vision item or service, miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
Anthem BCBS
| Professional | $10.05 | $10.05 | $26.25 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medcost
| Facility | $40.00 | $40.00 | $134.00 |