| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.66 | $25.30 | $29.18 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $54.94 | $54.94 | |
United
| Professional | $16.85 | $23.89 | $34.07 |
Foot, molded shoe, Plastazote (or similar), custom fitted, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.66 | $25.30 | $29.18 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $54.94 | $54.94 | |
United
| Professional | $16.85 | $23.89 | $34.07 |