| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
CareSource
| Facility | $10.59 | $10.59 | $11.10 | |
United
| Professional | $11.69 | $11.69 | $11.69 |
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 | |
CareSource
| Facility | $10.59 | $10.59 | $11.10 | |
United
| Professional | $11.69 | $11.69 | $11.69 |