| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,298.00 | $3,660.00 | $12,400.00 | |
Medica
| Facility | $400.00 | $907.00 | $5,000.00 | |
United
| Facility | $400.00 | $911.00 | $2,265.00 |
Leave Of Absence - Patient Convenience
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,298.00 | $3,660.00 | $12,400.00 | |
Medica
| Facility | $400.00 | $907.00 | $5,000.00 | |
United
| Facility | $400.00 | $911.00 | $2,265.00 |