| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.27 | $94.58 | $109.10 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $101.53 | |
United
| Professional | $55.89 | $89.17 | $128.34 |
Orthopedic Footwear Custom Shoes Depth Inlay Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.27 | $94.58 | $109.10 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $101.53 | |
United
| Professional | $55.89 | $89.17 | $128.34 |