| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.51 | $42.55 | $49.08 | |
Cigna
| Facility | $49.68 | $49.68 | $49.68 | |
Cigna
| Professional | $36.27 | $49.68 | $49.68 | |
United
| Professional | $28.46 | $36.97 | $57.54 |
Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.51 | $42.55 | $49.08 | |
Cigna
| Facility | $49.68 | $49.68 | $49.68 | |
Cigna
| Professional | $36.27 | $49.68 | $49.68 | |
United
| Professional | $28.46 | $36.97 | $57.54 |