I had my consult at Kugler Vision in Omaha...they have two doctors that perform the various corrective procedures...over 50,000 each. Here are the procedures and approximate costs...
LASIK (Includes the newer ASA and SMILE): $4,500 for both, includes 2 years follow-up and any additional corrective procedures. Since I'm over 50, they said they could do the monovision for near and far. However, it doesn't prevent cataracts, which they said would become necessary by my late 60's, early 70's.
RLE (Lens Exchange): $12,000 for both, includes 2 years follow-up and any corrective procedures. This is for multi-focal lenses that correct both near and far vision. It also eliminates cataracts. It does cost less if you go with a single vision lens...you could do monovision or simply correct far vision and wear readers if you prefer.
As a side note, for cataracts, vision insurance will only pay for basic lenses...so you have to agree to monovision or single vision and it has to be a lens approved by the insurance company. You have to pay the difference if you want multi-focal lenses...to the tune of $4,000.
Of course, I can choose to do nothing and continue to use contacts and eyeglasses. But, if you do a cost analysis over 20 years, assuming you get contacts and glasses each year, I spend about $400 per year for contacts, solutions, and a new pair of glasses averaged over two years. This comes out to about $8,000 for 20 years, and there may be a cataracts replacement added in. So maybe the RLE isn't too much given you get complete freedom over contacts and glasses...
Still thinking about it...RLE is a huge investment...even 24 months interest free is $500 per month. LASIK is an easy choice if you are still in your 20's or 30's.