| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,773.00 | $3,773.00 | $3,773.00 | |
United
| Facility | $1,018.00 | $1,558.00 | $3,626.00 |
Leave Of Absence/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,773.00 | $3,773.00 | $3,773.00 | |
United
| Facility | $1,018.00 | $1,558.00 | $3,626.00 |