| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $87.10 | $112.20 | |
BCBS
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
United
| Professional | $33.88 | $47.86 | $63.10 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $87.10 | $112.20 | |
BCBS
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
United
| Professional | $33.88 | $47.86 | $63.10 |