| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.35 | $56.35 | $59.71 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $101.53 | |
United
| Professional | $64.48 | $89.17 | $153.75 |
Orthopedic footwear, custom shoe, depth inlay, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.35 | $56.35 | $59.71 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $101.53 | |
United
| Professional | $64.48 | $89.17 | $153.75 |