| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $95,499.26 | $95,499.26 | $95,499.26 |
Leave of Absence-Other LOA
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $95,499.26 | $95,499.26 | $95,499.26 |