| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $87.10 | |
BCBS
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
United
| Professional | $30.20 | $44.67 | $50.12 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $87.10 | |
BCBS
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
United
| Professional | $30.20 | $44.67 | $50.12 |