| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $33.11 | $40.74 | |
BCBS
| Professional | $22.91 | $32.36 | $54.95 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Professional | $17.78 | $22.39 | $34.67 |
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 | $18.20 | $33.11 | $40.74 | |
BCBS
| Professional | $22.91 | $32.36 | $54.95 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Professional | $17.78 | $22.39 | $34.67 |