| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.65 | $6.76 | $14.22 | |
Cigna
| Facility | $28.65 | $28.65 | $28.65 | |
Cigna
| Professional | $20.91 | $20.91 | $28.65 | |
United
| Professional | $7.71 | $10.58 | $18.32 |
Plastazote sandal, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.65 | $6.76 | $14.22 | |
Cigna
| Facility | $28.65 | $28.65 | $28.65 | |
Cigna
| Professional | $20.91 | $20.91 | $28.65 | |
United
| Professional | $7.71 | $10.58 | $18.32 |