| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.12 | $74.12 | $77.58 | |
BCBS
| Professional | $86.52 | $86.52 | $86.52 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
United
| Professional | $35.29 | $39.04 | $39.04 |
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 | $74.12 | $74.12 | $77.58 | |
BCBS
| Professional | $86.52 | $86.52 | $86.52 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
United
| Professional | $35.29 | $39.04 | $39.04 |