| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.35 | $24.35 | $24.35 | |
CareSource
| Facility | $32.81 | $34.29 | $34.38 | |
CareSource
| Professional | $53.00 | $53.00 | $53.00 | |
United
| Professional | $31.11 | $31.11 | $31.11 |
Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.35 | $24.35 | $24.35 | |
CareSource
| Facility | $32.81 | $34.29 | $34.38 | |
CareSource
| Professional | $53.00 | $53.00 | $53.00 | |
United
| Professional | $31.11 | $31.11 | $31.11 |