| 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 | $1.00 | $21.75 | $26.76 | |
Medica
| Facility | $10.19 | $10.19 | $10.19 |
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 | $1.00 | $21.75 | $26.76 | |
Medica
| Facility | $10.19 | $10.19 | $10.19 |