| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.52 | $5.52 | $5.52 | |
BCBS
| Professional | $18.50 | $18.50 | $18.50 | |
United
| Professional | $7.62 | $7.62 | $7.62 |
Ground mileage, per statute mile
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.52 | $5.52 | $5.52 | |
BCBS
| Professional | $18.50 | $18.50 | $18.50 | |
United
| Professional | $7.62 | $7.62 | $7.62 |