| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12.46 | $82.84 | $318.33 | |
Cigna
| Facility | $350.00 | $350.00 | $350.00 | |
Qualchoice
| Facility | $18.39 | $203.21 | $452.20 |
General Class Ambulance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12.46 | $82.84 | $318.33 | |
Cigna
| Facility | $350.00 | $350.00 | $350.00 | |
Qualchoice
| Facility | $18.39 | $203.21 | $452.20 |