| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.87 | $49.66 | $52.19 | |
BCBS
| Professional | $53.00 | $53.00 | $53.00 | |
Cigna
| Professional | $28.61 | $28.61 | $43.36 | |
United
| Professional | $19.82 | $27.49 | $35.77 |
Trifocal Seg Width Over 28 Mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.87 | $49.66 | $52.19 | |
BCBS
| Professional | $53.00 | $53.00 | $53.00 | |
Cigna
| Professional | $28.61 | $28.61 | $43.36 | |
United
| Professional | $19.82 | $27.49 | $35.77 |