| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $12,589.25 | $12,589.25 | $12,589.25 |
Ambulance - Air Ambulance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $12,589.25 | $12,589.25 | $12,589.25 |