| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.23 | $50.12 | |
Aetna
| Professional | $10.00 | $10.00 | $41.69 | |
BCBS
| Professional | $19.95 | $25.12 | $39.81 | |
United
| Professional | $13.49 | $13.49 | $25.12 |
Nonemergency transportation and bus, intra- or interstate carrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.23 | $50.12 | |
Aetna
| Professional | $10.00 | $10.00 | $41.69 | |
BCBS
| Professional | $19.95 | $25.12 | $39.81 | |
United
| Professional | $13.49 | $13.49 | $25.12 |
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