| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.99 | $38.99 | $38.99 | |
Medica
| Facility | $21.96 | $68.06 | $118.62 | |
Medica
| Professional | $217.25 | $217.25 | $217.25 |
Checkout Orthotic/Prosthetic Estab Pt Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.99 | $38.99 | $38.99 | |
Medica
| Facility | $21.96 | $68.06 | $118.62 | |
Medica
| Professional | $217.25 | $217.25 | $217.25 |