| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $15.36 | $16.09 | $16.89 | |
University Health Alliance
| Professional | $13.00 | $13.00 | $13.00 |
Ground mileage, per statute mile
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $15.36 | $16.09 | $16.89 | |
University Health Alliance
| Professional | $13.00 | $13.00 | $13.00 |