| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.50 | $65.95 | $103.79 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Molina
| Professional | $60.00 | $84.60 | $102.50 | |
United
| Professional | $40.63 | $51.89 | $78.16 |
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 | $33.50 | $65.95 | $103.79 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Molina
| Professional | $60.00 | $84.60 | $102.50 | |
United
| Professional | $40.63 | $51.89 | $78.16 |