| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.62 | $55.62 | $60.46 | |
Cigna
| Facility | $103.32 | $103.32 | $103.32 | |
Cigna
| Professional | $75.42 | $75.42 | $103.32 | |
United
| Professional | $54.53 | $67.42 | $101.56 |
Addition To Lower Extremity Fracture Orthosis Plastic Shoe Insert With Ankle Joints
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.62 | $55.62 | $60.46 | |
Cigna
| Facility | $103.32 | $103.32 | $103.32 | |
Cigna
| Professional | $75.42 | $75.42 | $103.32 | |
United
| Professional | $54.53 | $67.42 | $101.56 |