| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.21 | $45.32 | $73.40 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
Molina
| Professional | $30.00 | $60.00 | $78.77 | |
United
| Professional | $30.57 | $39.04 | $58.83 |
Lens Index Greater Than Or Equal To 1.66 Plastic Or Greater Than Or Equal To 1.80 Glass Excludes Polycarbonate Per Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.21 | $45.32 | $73.40 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
Molina
| Professional | $30.00 | $60.00 | $78.77 | |
United
| Professional | $30.57 | $39.04 | $58.83 |