| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $327.00 | $327.00 | $409.00 | |
Fidelis
| Facility | $124.80 | $124.80 | $1,153.83 | |
MVP Health Care
| Facility | $475.00 | $475.00 | $475.00 |
Ambulance-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $327.00 | $327.00 | $409.00 | |
Fidelis
| Facility | $124.80 | $124.80 | $1,153.83 | |
MVP Health Care
| Facility | $475.00 | $475.00 | $475.00 |