| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $19.05 | $19.05 | $28.18 | |
Medcost
| Facility | $19.50 | $19.50 | $19.50 | |
United
| Professional | $23.44 | $25.12 | $26.92 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $19.05 | $19.05 | $28.18 | |
Medcost
| Facility | $19.50 | $19.50 | $19.50 | |
United
| Professional | $23.44 | $25.12 | $26.92 |