| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,228.00 | $3,228.00 | $3,228.00 | |
United
| Facility | $400.00 | $453.20 | $1,028.00 |
Leave Of Absence - Patient Convenience
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,228.00 | $3,228.00 | $3,228.00 | |
United
| Facility | $400.00 | $453.20 | $1,028.00 |