| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.33 | $97.82 | $109.08 | |
BCBS
| Professional | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
United
| Professional | $34.59 | $51.89 | $70.00 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.33 | $97.82 | $109.08 | |
BCBS
| Professional | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
United
| Professional | $34.59 | $51.89 | $70.00 |