| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.69 | $84.88 | $109.89 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Molina
| Professional | $60.00 | $97.69 | $118.38 | |
United
| Professional | $45.73 | $59.93 | $90.27 |
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 | $38.69 | $84.88 | $109.89 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Molina
| Professional | $60.00 | $97.69 | $118.38 | |
United
| Professional | $45.73 | $59.93 | $90.27 |