| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.21 | $214.11 | $283.85 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
United
| Professional | $133.55 | $152.78 | $254.64 |
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 | $88.21 | $214.11 | $283.85 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
United
| Professional | $133.55 | $152.78 | $254.64 |