| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.68 | $222.68 | $265.92 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
United
| Professional | $89.03 | $116.26 | $160.61 |
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.68 | $222.68 | $265.92 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
United
| Professional | $89.03 | $116.26 | $160.61 |