| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $11.00 | $16.04 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $16.04 | $16.04 | $100.00 |
Orthopedic shoe, modification, addition or transfer, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $11.00 | $16.04 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $16.04 | $16.04 | $100.00 |