| 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 |