| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.47 | $83.47 | $83.47 | |
Medica
| Facility | $83.47 | $83.47 | $141.06 |
Specialty trifocal (by report)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.47 | $83.47 | $83.47 | |
Medica
| Facility | $83.47 | $83.47 | $141.06 |