| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.43 | $19.43 | $19.43 | |
Aetna
| Professional | $19.43 | $19.43 | $19.43 | |
Medcost
| Facility | $19.43 | $19.43 | $19.43 | |
United
| Professional | $23.53 | $23.53 | $26.74 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.43 | $19.43 | $19.43 | |
Aetna
| Professional | $19.43 | $19.43 | $19.43 | |
Medcost
| Facility | $19.43 | $19.43 | $19.43 | |
United
| Professional | $23.53 | $23.53 | $26.74 |