| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.00 | $150.00 | $230.00 | |
BCBS
| Professional | $86.11 | $86.11 | $86.11 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
United
| Professional | $33.93 | $37.54 | $37.54 |
Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.00 | $150.00 | $230.00 | |
BCBS
| Professional | $86.11 | $86.11 | $86.11 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
United
| Professional | $33.93 | $37.54 | $37.54 |