| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.15 | $27.20 | $42.11 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Molina
| Professional | $36.88 | $44.92 | $49.97 | |
United
| Professional | $15.94 | $20.36 | $30.68 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.15 | $27.20 | $42.11 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Molina
| Professional | $36.88 | $44.92 | $49.97 | |
United
| Professional | $15.94 | $20.36 | $30.68 |