| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.82 | $47.71 | $50.14 | |
BCBS
| Professional | $51.00 | $51.00 | $51.00 | |
Cigna
| Professional | $25.82 | $25.82 | $39.11 | |
United
| Professional | $17.89 | $26.42 | $40.99 |
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 | $25.82 | $47.71 | $50.14 | |
BCBS
| Professional | $51.00 | $51.00 | $51.00 | |
Cigna
| Professional | $25.82 | $25.82 | $39.11 | |
United
| Professional | $17.89 | $26.42 | $40.99 |