| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $4,786.30 | $4,786.30 | $4,786.30 | |
United
| Facility | $831.76 | $831.76 | $831.76 |
Leave of Absence-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $4,786.30 | $4,786.30 | $4,786.30 | |
United
| Facility | $831.76 | $831.76 | $831.76 |