| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.43 | $197.04 | $496.00 | |
Cigna
| Professional | $99.89 | $99.89 | $99.89 | |
Martin's Point
| Professional | $50.43 | $137.69 | $496.00 |
Wheelchair Component Or Accessory Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.43 | $197.04 | $496.00 | |
Cigna
| Professional | $99.89 | $99.89 | $99.89 | |
Martin's Point
| Professional | $50.43 | $137.69 | $496.00 |