| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $85.11 | $93.33 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $45.71 | $45.71 | $45.71 | |
United
| Professional | $31.62 | $46.77 | $53.70 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $85.11 | $93.33 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $45.71 | $45.71 | $45.71 | |
United
| Professional | $31.62 | $46.77 | $53.70 |