| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.69 | $73.33 | $77.06 | |
BCBS
| Professional | $78.00 | $78.00 | $78.00 | |
Cigna
| Professional | $38.71 | $38.71 | $58.65 | |
United
| Professional | $26.82 | $40.24 | $69.45 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.69 | $73.33 | $77.06 | |
BCBS
| Professional | $78.00 | $78.00 | $78.00 | |
Cigna
| Professional | $38.71 | $38.71 | $58.65 | |
United
| Professional | $26.82 | $40.24 | $69.45 |