| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $29.87 | $372.99 | $1,619.88 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |
Neonatal Ambulance Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $29.87 | $372.99 | $1,619.88 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |