| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.59 | $37.28 | $52.46 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Molina
| Professional | $39.86 | $48.57 | $54.02 | |
United
| Professional | $21.34 | $27.25 | $41.05 |
Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere Over 6.00d Cylinder Per Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.59 | $37.28 | $52.46 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Molina
| Professional | $39.86 | $48.57 | $54.02 | |
United
| Professional | $21.34 | $27.25 | $41.05 |