| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.43 | $27.10 | $27.10 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $25.20 | $29.59 | $64.78 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.43 | $27.10 | $27.10 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $25.20 | $29.59 | $64.78 |