SELECT 
  b.variant_name, 
  a.*, 
  IF(
    shared_option_variants.variant_id IS NOT NULL, 
    shared_option_variants.modifier, 
    a.modifier
  ) as modifier, 
  IF(
    shared_option_variants.variant_id IS NOT NULL, 
    shared_option_variants.modifier_type, 
    a.modifier_type
  ) as modifier_type 
FROM 
  cscart_product_option_variants AS a 
  LEFT JOIN cscart_product_option_variants_descriptions AS b ON b.variant_id = a.variant_id 
  AND b.lang_code = 'en' 
  LEFT JOIN cscart_ult_product_option_variants shared_option_variants ON shared_option_variants.variant_id = a.variant_id 
  AND shared_option_variants.company_id = 1 
WHERE 
  1 
  AND a.option_id IN (2) 
  AND a.status = 'A' 
ORDER BY 
  a.position, 
  a.variant_id

Query time 0.00042

Explain
id select_type table type possible_keys key key_len ref rows Extra
1 SIMPLE shared_option_variants system PRIMARY,company_id 0 const row not found
1 SIMPLE a ref status,option_id,option_id_2 option_id 6 const,const 5 Using index condition; Using where; Using filesort
1 SIMPLE b eq_ref PRIMARY PRIMARY 9 cscart_dev_4_16.a.variant_id,const 1 Using where

Result

variant_name variant_id option_id position modifier modifier_type weight_modifier weight_modifier_type point_modifier point_modifier_type status
Small 6 2 10 0.000 A 0.000 A 0.000 A A
Medium 10 2 20 0.000 A 0.000 A 0.000 A A
Large 9 2 30 0.000 A 0.000 A 0.000 A A
X Large 8 2 40 0.000 A 0.000 A 0.000 A A
XX Large 7 2 50 0.000 A 0.000 A 0.000 A A