If you need a vehicle that can be fitted with hand controls, we would suggest starting with a vehicle mobility specialist near you who will be able to carry out the required work for you, as they will likely have a list of vehicles that they can provide controls for which will help you narrow down your options. You can also see our guide to our favourite small SUVs here: www.honestjohn.co.uk/guides/best-small-suv/ Whether or not this carries an additional cost in terms of insurance will depend on the individual insurer.