| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.35 | $93.32 | $123.90 | |
Cigna
| Facility | $140.54 | $140.54 | $140.54 | |
Cigna
| Professional | $95.00 | $102.59 | $134.37 | |
United
| Professional | $77.52 | $102.25 | $143.18 |
Foot insert, removable, molded to patient model, longitudinal arch support, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.35 | $93.32 | $123.90 | |
Cigna
| Facility | $140.54 | $140.54 | $140.54 | |
Cigna
| Professional | $95.00 | $102.59 | $134.37 | |
United
| Professional | $77.52 | $102.25 | $143.18 |