| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.98 | $10.35 | $12.51 | |
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $9.44 | $9.44 | $9.44 | |
United
| Professional | $8.19 | $9.82 | $13.16 |
Tint Photochromatic Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.98 | $10.35 | $12.51 | |
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $9.44 | $9.44 | $9.44 | |
United
| Professional | $8.19 | $9.82 | $13.16 |