| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.28 | $65.28 | $66.84 | |
BCBS
| Professional | $74.55 | $74.55 | $74.55 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
United
| Professional | $33.95 | $36.00 | $37.57 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.28 | $65.28 | $66.84 | |
BCBS
| Professional | $74.55 | $74.55 | $74.55 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
United
| Professional | $33.95 | $36.00 | $37.57 |