| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $18.62 | $25.12 | $30.20 | |
Martin's Point
| Professional | $10.00 | $10.00 | $10.00 |
Nonemergency transportation and bus, intra- or interstate carrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $18.62 | $25.12 | $30.20 | |
Martin's Point
| Professional | $10.00 | $10.00 | $10.00 |