| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $44.67 | $61.66 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Professional | $22.91 | $34.67 | $42.66 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $44.67 | $61.66 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Professional | $22.91 | $34.67 | $42.66 |