| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.32 | $35.46 | $49.80 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Molina
| Professional | $49.77 | $60.00 | $67.18 | |
United
| Professional | $21.01 | $26.83 | $44.72 |
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 | $17.32 | $35.46 | $49.80 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Molina
| Professional | $49.77 | $60.00 | $67.18 | |
United
| Professional | $21.01 | $26.83 | $44.72 |