| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $26,000.00 | $26,000.00 | $27,225.12 |
Ambulance service, conventional air services, transport, one way (rotary wing)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $26,000.00 | $26,000.00 | $27,225.12 |