| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 |
For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 |