| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.79 | $51.50 | $74.41 | |
Cigna
| Professional | $36.94 | $36.94 | $36.94 | |
Molina
| Professional | $60.00 | $75.48 | $91.44 | |
United
| Professional | $30.06 | $38.39 | $57.83 |
Slab Off Prism, Glass Or Plastic, Per Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.79 | $51.50 | $74.41 | |
Cigna
| Professional | $36.94 | $36.94 | $36.94 | |
Molina
| Professional | $60.00 | $75.48 | $91.44 | |
United
| Professional | $30.06 | $38.39 | $57.83 |