| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.83 | $49.70 | $74.26 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Molina
| Professional | $60.00 | $67.19 | $81.39 | |
United
| Professional | $30.11 | $38.45 | $64.09 |
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 | $24.83 | $49.70 | $74.26 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Molina
| Professional | $60.00 | $67.19 | $81.39 | |
United
| Professional | $30.11 | $38.45 | $64.09 |