| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Blue Shield
| Professional | $39.81 | $39.81 | $39.81 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |
Nonemergency transportation and bus, intra- or interstate carrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Blue Shield
| Professional | $39.81 | $39.81 | $39.81 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |