| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,417.00 | $1,600.00 | $3,665.00 | |
United
| Facility | $711.00 | $1,121.00 | $2,409.00 | |
Wellpoint
| Facility | $1,264.00 | $2,307.00 | $6,282.00 |
Leave Of Absence/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,417.00 | $1,600.00 | $3,665.00 | |
United
| Facility | $711.00 | $1,121.00 | $2,409.00 | |
Wellpoint
| Facility | $1,264.00 | $2,307.00 | $6,282.00 |