| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.96 | $6.96 | $6.96 | |
Medica
| Facility | $7.05 | $7.05 | $9.61 | |
Medica
| Professional | $6.75 | $6.75 | $12.25 | |
United
| Professional | $6.75 | $6.75 | $12.25 |
ALS routine disposable supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.96 | $6.96 | $6.96 | |
Medica
| Facility | $7.05 | $7.05 | $9.61 | |
Medica
| Professional | $6.75 | $6.75 | $12.25 | |
United
| Professional | $6.75 | $6.75 | $12.25 |