| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.95 | $53.58 | $57.07 | |
BCBS
| Professional | $64.28 | $64.28 | $89.01 | |
Cigna
| Professional | $38.71 | $38.71 | $38.71 | |
United
| Professional | $37.34 | $44.80 | $60.01 |
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 | $40.95 | $53.58 | $57.07 | |
BCBS
| Professional | $64.28 | $64.28 | $89.01 | |
Cigna
| Professional | $38.71 | $38.71 | $38.71 | |
United
| Professional | $37.34 | $44.80 | $60.01 |