| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.19 | $10.19 | $10.19 | |
Anthem BCBS
| Professional | $18.75 | $25.00 | $25.00 | |
Molina
| Professional | $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 | $10.19 | $10.19 | $10.19 | |
Anthem BCBS
| Professional | $18.75 | $25.00 | $25.00 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 |