| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.06 | $169.06 | $169.06 | |
Kaiser Permanente
| Professional | $248.87 | $248.87 | $248.87 | |
United
| Professional | $120.29 | $201.20 | $201.20 |
Special back height for wheelchair
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.06 | $169.06 | $169.06 | |
Kaiser Permanente
| Professional | $248.87 | $248.87 | $248.87 | |
United
| Professional | $120.29 | $201.20 | $201.20 |