| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.24 | $53.18 | $73.05 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
Molina
| Professional | $60.00 | $71.70 | $86.89 | |
United
| Professional | $28.65 | $37.54 | $62.57 |
Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.24 | $53.18 | $73.05 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
Molina
| Professional | $60.00 | $71.70 | $86.89 | |
United
| Professional | $28.65 | $37.54 | $62.57 |