| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $33.75 | $48.90 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
Molina
| Professional | $35.94 | $43.78 | $48.69 | |
United
| Professional | $19.23 | $24.56 | $36.99 |
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 | $15.85 | $33.75 | $48.90 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
Molina
| Professional | $35.94 | $43.78 | $48.69 | |
United
| Professional | $19.23 | $24.56 | $36.99 |