| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $500.00 | $584.00 | $1,420.00 | |
United
| Facility | $500.00 | $580.00 | $1,415.00 |
Leave Of Absence - Patient Convenience
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $500.00 | $584.00 | $1,420.00 | |
United
| Facility | $500.00 | $580.00 | $1,415.00 |