| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.07 | $107.87 | $107.87 | |
BCBS
| Professional | $101.57 | $101.57 | $101.57 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
United
| Professional | $46.85 | $51.89 | $51.89 |
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 | $91.07 | $107.87 | $107.87 | |
BCBS
| Professional | $101.57 | $101.57 | $101.57 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
United
| Professional | $46.85 | $51.89 | $51.89 |