| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.79 | $114.17 | $119.99 | |
BCBS
| Professional | $122.00 | $122.00 | $122.00 | |
Cigna
| Professional | $49.33 | $49.33 | $74.75 | |
United
| Professional | $34.18 | $51.28 | $77.83 |
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 | $61.79 | $114.17 | $119.99 | |
BCBS
| Professional | $122.00 | $122.00 | $122.00 | |
Cigna
| Professional | $49.33 | $49.33 | $74.75 | |
United
| Professional | $34.18 | $51.28 | $77.83 |