| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.20 | $287.22 | $287.22 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 |
Back Planar For Pediatric Size Wheelchair Including Fixed Attaching Hardware
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.20 | $287.22 | $287.22 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 |