| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.62 | $31.62 | $31.62 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $25.12 | $25.12 | $25.12 |
Nonemergency transportation and bus, intra- or interstate carrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.62 | $31.62 | $31.62 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $25.12 | $25.12 | $25.12 |