Cities not served by road, sea, or river can be reached only by air, foot, dogsled, or snowmachine, accounting for Alaska's extremely well developed bush air services—an Alaskan novelty. Anchorage and, to a lesser extent Fairbanks, is served by many major airlines. Because of limited highway access, air travel remains the most efficient form of transportation in and out of the state. Anchorage recently completed extensive remodeling and construction at Ted Stevens Anchorage International Airport to help accommodate the upsurge in tourism (in 2012-2013, Alaska received almost 2 million visitors).
What is the most inefficient means of transportation into and out of Alaska?