| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.97 | $53.58 | $73.33 | |
Cigna
| Professional | $38.71 | $38.71 | $38.71 | |
Molina
| Professional | $60.00 | $72.02 | $87.27 | |
United
| Professional | $31.50 | $40.24 | $60.61 |
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 | $25.97 | $53.58 | $73.33 | |
Cigna
| Professional | $38.71 | $38.71 | $38.71 | |
Molina
| Professional | $60.00 | $72.02 | $87.27 | |
United
| Professional | $31.50 | $40.24 | $60.61 |