| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.57 | $541.57 | $541.57 | |
Aetna
| Professional | $3.26 | $3.26 | $4.80 | |
Cigna
| Professional | $7.27 | $7.27 | $7.27 | |
United
| Professional | $5.00 | $23.10 | $34.65 |
Ground mileage, per statute mile
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.57 | $541.57 | $541.57 | |
Aetna
| Professional | $3.26 | $3.26 | $4.80 | |
Cigna
| Professional | $7.27 | $7.27 | $7.27 | |
United
| Professional | $5.00 | $23.10 | $34.65 |