| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Molina
| Facility | $6,165.95 | $8,128.31 | $8,912.51 |
Leave of Absence-Nursing Home (for Hospitalization)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Molina
| Facility | $6,165.95 | $8,128.31 | $8,912.51 |