| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.02 | $128.25 | $141.08 | |
Cigna
| Facility | $152.55 | $152.55 | $153.72 | |
Cigna
| Professional | $111.36 | $111.36 | $153.72 | |
United
| Professional | $88.26 | $116.39 | $426.78 |
Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.02 | $128.25 | $141.08 | |
Cigna
| Facility | $152.55 | $152.55 | $153.72 | |
Cigna
| Professional | $111.36 | $111.36 | $153.72 | |
United
| Professional | $88.26 | $116.39 | $426.78 |