| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.86 | $36.15 | $51.65 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
United
| Professional | $22.55 | $29.42 | $49.04 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.86 | $36.15 | $51.65 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
United
| Professional | $22.55 | $29.42 | $49.04 |