| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $102.33 | $128.82 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $57.54 | $57.54 | $147.91 | |
United
| Professional | $39.81 | $54.95 | $77.62 |
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $102.33 | $128.82 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $57.54 | $57.54 | $147.91 | |
United
| Professional | $39.81 | $54.95 | $77.62 |