| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.60 | $47.65 | $64.37 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
Molina
| Professional | $58.19 | $64.83 | $78.55 | |
United
| Professional | $27.41 | $35.01 | $58.35 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.60 | $47.65 | $64.37 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
Molina
| Professional | $58.19 | $64.83 | $78.55 | |
United
| Professional | $27.41 | $35.01 | $58.35 |