| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.91 | $40.27 | $64.01 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
Molina
| Professional | $42.87 | $52.21 | $58.07 | |
United
| Professional | $22.94 | $29.30 | $44.13 |
Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.91 | $40.27 | $64.01 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
Molina
| Professional | $42.87 | $52.21 | $58.07 | |
United
| Professional | $22.94 | $29.30 | $44.13 |