| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $52.48 | $69.18 | |
BCBS
| Professional | $43.65 | $63.10 | $107.15 | |
Cigna
| Professional | $37.15 | $37.15 | $37.15 | |
United
| Professional | $32.36 | $43.65 | $64.57 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $52.48 | $69.18 | |
BCBS
| Professional | $43.65 | $63.10 | $107.15 | |
Cigna
| Professional | $37.15 | $37.15 | $37.15 | |
United
| Professional | $32.36 | $43.65 | $64.57 |