| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $49.61 | $49.61 | $51.95 | |
University Health Alliance
| Professional | $27.05 | $28.67 | $159.00 |
Fixed wing air mileage, per statute mile
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $49.61 | $49.61 | $51.95 | |
University Health Alliance
| Professional | $27.05 | $28.67 | $159.00 |