| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.22 | $44.51 | $92.29 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $50.99 | $69.84 | |
United
| Professional | $55.91 | $68.73 | $118.17 |
Orthopedic footwear, mens shoe, depth inlay, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.22 | $44.51 | $92.29 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $50.99 | $69.84 | |
United
| Professional | $55.91 | $68.73 | $118.17 |