| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.23 | $17.23 | $19.77 | |
Cigna
| Facility | $26.67 | $26.67 | $26.67 | |
Cigna
| Professional | $19.47 | $19.47 | $34.32 | |
United
| Professional | $15.84 | $20.89 | $31.47 |
Sole wedge, outside sole
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.23 | $17.23 | $19.77 | |
Cigna
| Facility | $26.67 | $26.67 | $26.67 | |
Cigna
| Professional | $19.47 | $19.47 | $34.32 | |
United
| Professional | $15.84 | $20.89 | $31.47 |