Cultured is sometimes used as a synonym for 'lab-grown' gemstones. Here's more info that I found on the web.
Synthetic opal
As well as occurring naturally, opals of all varieties have been synthesized experimentally and commercially. The discovery of the ordered sphere structure of precious opal led to its synthesis by Pierre Gilson in 1974.[5] The resulting material is distinguishable from natural opal by its regularity; under magnification, the patches of color are seen to be arranged in a "lizard skin" or "chicken wire" pattern. Synthetics are further distinguished from naturals by the former's lack of fluorescence under UV light. Synthetics are also generally lower in density and are often highly porous.
Two notable producers of synthetic opal are the companies Kyocera and Inamori of Japan. Most so-called synthetics, however, are more correctly termed "imitation opal", as they contain substances not found in natural opal (e.g., plastic stabilizers).
GemsTV don't sell synthetic opals, so you have no need to worry briolette. Hope you love it when you get it home.