| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.72 | $88.72 | $88.72 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
MVP Health Care
| Professional | $35.29 | $35.29 | $35.29 |
Orthotic And Prosthetic Supply, Accessr, And/Or Svc Component Of
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.72 | $88.72 | $88.72 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
MVP Health Care
| Professional | $35.29 | $35.29 | $35.29 |