| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Medica
| Facility | $145.87 | $145.87 | $145.87 | |
Medica
| Professional | $21.08 | $21.08 | $244.85 |
Lower extremity orthoses, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Medica
| Facility | $145.87 | $145.87 | $145.87 | |
Medica
| Professional | $21.08 | $21.08 | $244.85 |