| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,327.67 | $1,327.67 | $1,327.67 | |
Kaiser Permanente
| Professional | $1,679.02 | $1,679.02 | $1,679.02 | |
United
| Professional | $859.12 | $1,288.68 | $1,288.68 |
Ultralightweight wheelchair
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,327.67 | $1,327.67 | $1,327.67 | |
Kaiser Permanente
| Professional | $1,679.02 | $1,679.02 | $1,679.02 | |
United
| Professional | $859.12 | $1,288.68 | $1,288.68 |