| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.63 | $52.39 | $73.41 | |
Cigna
| Professional | $30.18 | $30.18 | $30.18 | |
United
| Professional | $31.37 | $41.83 | $69.70 |
Trifocal add over 3.25d
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.63 | $52.39 | $73.41 | |
Cigna
| Professional | $30.18 | $30.18 | $30.18 | |
United
| Professional | $31.37 | $41.83 | $69.70 |