See if you can get one made by some physician / physical therapist for your cycling shoes, too. That's what my friend is doing. I've been doing OK with the Specialized BG insoles (highest arch one), because my orthotics don't fit in cycling shoes either, but I don't have foot issues that cause major problems on the bike--just having the right shoes and cleat placement helps a lot. My issues manifest themselves more when running and walking (mostly running).