| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $195.00 | $195.00 | $195.00 | |
Priority Health
| Facility | $195.00 | $195.00 | $195.00 |
Neonatal Ambulance Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $195.00 | $195.00 | $195.00 | |
Priority Health
| Facility | $195.00 | $195.00 | $195.00 |