| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.60 | $253.60 | $253.60 | |
Pacific Source
| Facility | $27.68 | $38.19 | $79,999.20 |
Extra Ambulance Attendant Ground (Als Or Bls) Or Air (Fixed Or Rotary Winged); (Requires Medical Review) (Updated 01-01-2003)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.60 | $253.60 | $253.60 | |
Pacific Source
| Facility | $27.68 | $38.19 | $79,999.20 |