| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.70 | $75.63 | $84.71 | |
BCBS
| Professional | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
United
| Professional | $25.03 | $31.29 | $48.26 |
Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.70 | $75.63 | $84.71 | |
BCBS
| Professional | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
United
| Professional | $25.03 | $31.29 | $48.26 |