| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.96 | $25.96 | $25.96 | |
Medica
| Facility | $26.25 | $26.25 | $35.82 | |
Medica
| Professional | $25.15 | $25.15 | $44.74 | |
United
| Professional | $25.15 | $25.15 | $44.74 |
Ambulance (Als Or Bls) Oxygen And Oxygen Supplies Life Sustaining Situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.96 | $25.96 | $25.96 | |
Medica
| Facility | $26.25 | $26.25 | $35.82 | |
Medica
| Professional | $25.15 | $25.15 | $44.74 | |
United
| Professional | $25.15 | $25.15 | $44.74 |