| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $626.00 | $1,400.00 | $2,875.00 | |
Cigna
| Facility | $915.00 | $915.00 | $4,349.00 | |
United
| Facility | $500.00 | $710.00 | $1,217.00 |
Leave Of Absence/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $626.00 | $1,400.00 | $2,875.00 | |
Cigna
| Facility | $915.00 | $915.00 | $4,349.00 | |
United
| Facility | $500.00 | $710.00 | $1,217.00 |