| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.63 | $42.07 | $57.47 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
United
| Professional | $24.99 | $32.74 | $54.57 |
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 | $21.63 | $42.07 | $57.47 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
United
| Professional | $24.99 | $32.74 | $54.57 |