| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.67 | $21.67 | $25.52 | |
United
| Professional | $25.00 | $25.00 | $27.36 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.67 | $21.67 | $25.52 | |
United
| Professional | $25.00 | $25.00 | $27.36 |