| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.12 | $77.09 | $81.59 | |
Cigna
| Facility | $62.10 | $62.10 | $62.10 | |
Cigna
| Professional | $52.79 | $52.79 | $108.47 | |
United
| Professional | $46.68 | $61.98 | $66.69 |
Special wheelchair seat depth, by upholstery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.12 | $77.09 | $81.59 | |
Cigna
| Facility | $62.10 | $62.10 | $62.10 | |
Cigna
| Professional | $52.79 | $52.79 | $108.47 | |
United
| Professional | $46.68 | $61.98 | $66.69 |