| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $100.00 | $109.65 | |
BCBS
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Professional | $34.67 | $52.48 | $61.66 |
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 | $77.62 | $100.00 | $109.65 | |
BCBS
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Professional | $34.67 | $52.48 | $61.66 |