| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Unlisted ambulance service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |