| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.25 | $41.90 | $67.83 | |
Cigna
| Professional | $30.18 | $30.18 | $30.18 | |
Molina
| Professional | $30.00 | $55.91 | $60.00 | |
United
| Professional | $24.56 | $31.37 | $47.25 |
Trifocal Add Over 3.25d
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.25 | $41.90 | $67.83 | |
Cigna
| Professional | $30.18 | $30.18 | $30.18 | |
Molina
| Professional | $30.00 | $55.91 | $60.00 | |
United
| Professional | $24.56 | $31.37 | $47.25 |