| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.20 | $35.13 | $64.30 | |
Cigna
| Professional | $28.61 | $28.61 | $28.61 | |
Molina
| Professional | $30.00 | $52.99 | $60.00 | |
United
| Professional | $23.28 | $29.74 | $44.79 |
Trifocal Seg Width Over 28 Mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.20 | $35.13 | $64.30 | |
Cigna
| Professional | $28.61 | $28.61 | $28.61 | |
Molina
| Professional | $30.00 | $52.99 | $60.00 | |
United
| Professional | $23.28 | $29.74 | $44.79 |