| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $501.19 | $501.19 | |
HMSA
| Professional | $1,318.26 | $1,380.38 | $1,380.38 |
Specialty care transport (SCT)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $501.19 | $501.19 | |
HMSA
| Professional | $1,318.26 | $1,380.38 | $1,380.38 |