| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $131.83 | $501.19 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
Martin's Point
| Professional | $50.12 | $194.98 | $501.19 |
Wheelchair component or accessory, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $131.83 | $501.19 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
Martin's Point
| Professional | $50.12 | $194.98 | $501.19 |