| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.44 | $68.20 | $105.31 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Molina
| Professional | $60.00 | $86.97 | $105.39 | |
United
| Professional | $41.77 | $53.35 | $80.36 |
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.44 | $68.20 | $105.31 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Molina
| Professional | $60.00 | $86.97 | $105.39 | |
United
| Professional | $41.77 | $53.35 | $80.36 |