| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
Moda Health
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Professional | $9.40 | $12.69 | $13.44 |
Fixed wing air mileage, per statute mile
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
Moda Health
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Professional | $9.40 | $12.69 | $13.44 |