| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5,907.30 | $5,907.30 | $5,907.30 | |
Oscar Health
| Facility | $12,317.37 | $12,317.37 | $19,284.93 |
Ambulance-Air Ambulance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5,907.30 | $5,907.30 | $5,907.30 | |
Oscar Health
| Facility | $12,317.37 | $12,317.37 | $19,284.93 |