| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.19 | $10.19 | $10.19 | |
CareSource
| Facility | $31,499.69 | $31,499.69 | $32,999.67 |
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 | |
CareSource
| Facility | $31,499.69 | $31,499.69 | $32,999.67 |