| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $5.83 | $5.83 | |
Cigna
| Facility | $7.00 | $7.00 | $14.28 | |
Cigna
| Professional | $5.00 | $9.46 | $11.83 | |
United
| Professional | $8.00 | $8.00 | $8.00 |
Ground mileage, per statute mile
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $5.83 | $5.83 | |
Cigna
| Facility | $7.00 | $7.00 | $14.28 | |
Cigna
| Professional | $5.00 | $9.46 | $11.83 | |
United
| Professional | $8.00 | $8.00 | $8.00 |