| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.10 | $22.84 | $25.40 | |
Cigna
| Professional | $11.00 | $11.00 | $11.00 | |
United
| Professional | $11.43 | $13.01 | $21.69 |
Anti-Reflective Coating Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.10 | $22.84 | $25.40 | |
Cigna
| Professional | $11.00 | $11.00 | $11.00 | |
United
| Professional | $11.43 | $13.01 | $21.69 |