| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,569.84 | $2,569.84 | $2,569.84 | |
Kaiser Permanente
| Professional | $3,781.36 | $3,781.36 | $3,781.36 | |
United
| Professional | $1,371.44 | $2,293.87 | $2,293.87 |
Standard - Weight Frame Motorized/Power Wheelchair
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,569.84 | $2,569.84 | $2,569.84 | |
Kaiser Permanente
| Professional | $3,781.36 | $3,781.36 | $3,781.36 | |
United
| Professional | $1,371.44 | $2,293.87 | $2,293.87 |