| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $600.00 | $600.00 | $600.00 | |
United
| Facility | $786.00 | $786.00 | $786.00 |
Leave of Absence-Other LOA
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $600.00 | $600.00 | $600.00 | |
United
| Facility | $786.00 | $786.00 | $786.00 |