| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.10 | $55.28 | $89.93 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
Molina
| Professional | $60.00 | $80.48 | $97.52 | |
United
| Professional | $36.50 | $46.62 | $70.23 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.10 | $55.28 | $89.93 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
Molina
| Professional | $60.00 | $80.48 | $97.52 | |
United
| Professional | $36.50 | $46.62 | $70.23 |