| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.96 | $15.03 | $15.85 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $40.11 | $54.94 | |
United
| Professional | $17.23 | $23.80 | $40.85 |
Foot, molded shoe, Plastazote (or similar), custom fitted, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.96 | $15.03 | $15.85 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $40.11 | $54.94 | |
United
| Professional | $17.23 | $23.80 | $40.85 |