| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.39 | $28.60 | $47.73 | |
Cigna
| Professional | $24.43 | $24.43 | $24.43 | |
Molina
| Professional | $30.00 | $51.23 | $60.00 | |
United
| Professional | $19.88 | $25.40 | $38.26 |
Lens, Polycarbonate Or Equal, Any Index, Per Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.39 | $28.60 | $47.73 | |
Cigna
| Professional | $24.43 | $24.43 | $24.43 | |
Molina
| Professional | $30.00 | $51.23 | $60.00 | |
United
| Professional | $19.88 | $25.40 | $38.26 |