| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.26 | $50.97 | $69.47 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
United
| Professional | $29.69 | $39.58 | $65.97 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.26 | $50.97 | $69.47 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
United
| Professional | $29.69 | $39.58 | $65.97 |