| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.62 | $80.59 | $84.71 | |
BCBS
| Professional | $86.00 | $86.00 | $86.00 | |
Cigna
| Professional | $36.11 | $36.11 | $54.74 | |
United
| Professional | $25.03 | $37.54 | $58.04 |
Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.62 | $80.59 | $84.71 | |
BCBS
| Professional | $86.00 | $86.00 | $86.00 | |
Cigna
| Professional | $36.11 | $36.11 | $54.74 | |
United
| Professional | $25.03 | $37.54 | $58.04 |