| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $57.00 | $57.00 | |
Aetna
| Professional | $25.60 | $26.40 | $26.40 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Lower Extremity Orthoses Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $57.00 | $57.00 | |
Aetna
| Professional | $25.60 | $26.40 | $26.40 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |