| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.00 | $1,040.00 | $1,040.00 | |
Health Alliance Plan
| Facility | $380.00 | $1,040.00 | $2,457.58 | |
United
| Facility | $500.00 | $1,450.00 | $1,724.00 |
Gen'L Class R&B Leave Of Absence
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.00 | $1,040.00 | $1,040.00 | |
Health Alliance Plan
| Facility | $380.00 | $1,040.00 | $2,457.58 | |
United
| Facility | $500.00 | $1,450.00 | $1,724.00 |