| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.47 | $18.39 | $21.22 | |
Cigna
| Facility | $28.09 | $28.09 | $28.09 | |
Cigna
| Professional | $20.51 | $28.09 | $28.09 | |
United
| Professional | $12.17 | $17.23 | $24.61 |
Orthopedic footwear, additional charge for split size
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.47 | $18.39 | $21.22 | |
Cigna
| Facility | $28.09 | $28.09 | $28.09 | |
Cigna
| Professional | $20.51 | $28.09 | $28.09 | |
United
| Professional | $12.17 | $17.23 | $24.61 |