| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.73 | $16.73 | $24.64 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.73 | $16.73 | $24.64 |