| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.17 | $78.17 | $89.65 | |
Cigna
| Facility | $129.63 | $129.63 | $129.63 | |
Cigna
| Professional | $94.64 | $94.64 | $134.37 | |
United
| Professional | $78.75 | $95.18 | $157.91 |
Foot insert, removable, molded to patient model, Plastazote or equal, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.17 | $78.17 | $89.65 | |
Cigna
| Facility | $129.63 | $129.63 | $129.63 | |
Cigna
| Professional | $94.64 | $94.64 | $134.37 | |
United
| Professional | $78.75 | $95.18 | $157.91 |