| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.50 | $25.60 | $26.40 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $2,500.00 |
Lower Extremity Orthoses Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.50 | $25.60 | $26.40 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $2,500.00 |