| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.19 | $10.19 | $10.19 | |
Aetna
| Professional | $10.19 | $10.19 | $10.19 | |
Anthem BCBS
| Professional | $20.60 | $25.75 | $36.56 |
Nonemergency transportation and bus, intra- or interstate carrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.19 | $10.19 | $10.19 | |
Aetna
| Professional | $10.19 | $10.19 | $10.19 | |
Anthem BCBS
| Professional | $20.60 | $25.75 | $36.56 |