| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.75 | $44.59 | $48.47 | |
BCBS
| Professional | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
United
| Professional | $16.37 | $20.47 | $32.74 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.75 | $44.59 | $48.47 | |
BCBS
| Professional | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
United
| Professional | $16.37 | $20.47 | $32.74 |