| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.10 | $57.28 | $114.17 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Molina
| Professional | $60.00 | $83.60 | $101.29 | |
United
| Professional | $40.15 | $51.28 | $77.23 |
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 | $33.10 | $57.28 | $114.17 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Molina
| Professional | $60.00 | $83.60 | $101.29 | |
United
| Professional | $40.15 | $51.28 | $77.23 |