| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $15.14 | $22.15 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $2,500.00 |
Orthopedic shoe, modification, addition or transfer, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $15.14 | $22.15 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $2,500.00 |