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