| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.17 | $39.43 | $64.19 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Molina
| Professional | $43.44 | $52.89 | $58.86 | |
United
| Professional | $23.24 | $29.69 | $49.48 |
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 | $19.17 | $39.43 | $64.19 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Molina
| Professional | $43.44 | $52.89 | $58.86 | |
United
| Professional | $23.24 | $29.69 | $49.48 |