| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.52 | $25.52 | $25.52 | |
Aetna
| Professional | $25.52 | $25.52 | $25.52 | |
United
| Professional | $15.00 | $24.46 | $26.55 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.52 | $25.52 | $25.52 | |
Aetna
| Professional | $25.52 | $25.52 | $25.52 | |
United
| Professional | $15.00 | $24.46 | $26.55 |