| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.68 | $54.84 | $57.64 | |
BCBS
| Professional | $58.00 | $58.00 | $58.00 | |
Cigna
| Professional | $28.56 | $28.56 | $43.28 | |
United
| Professional | $19.79 | $29.69 | $39.49 |
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 | $29.68 | $54.84 | $57.64 | |
BCBS
| Professional | $58.00 | $58.00 | $58.00 | |
Cigna
| Professional | $28.56 | $28.56 | $43.28 | |
United
| Professional | $19.79 | $29.69 | $39.49 |