| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,240.00 | $8,240.00 | $8,240.00 | |
BCBS
| Facility | $30.24 | $371.51 | $1,619.88 | |
Lucent Health
| Facility | $1,600.00 | $2,071.00 | $4,000.00 |
Leave Of Absence - Icf/Mr - Any Reason
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,240.00 | $8,240.00 | $8,240.00 | |
BCBS
| Facility | $30.24 | $371.51 | $1,619.88 | |
Lucent Health
| Facility | $1,600.00 | $2,071.00 | $4,000.00 |