| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.00 | $650.00 | $2,050.00 | |
Cigna
| Facility | $1,100.00 | $1,650.00 | $3,260.00 | |
United
| Facility | $450.00 | $827.00 | $1,476.00 |
Leave Of Absence/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.00 | $650.00 | $2,050.00 | |
Cigna
| Facility | $1,100.00 | $1,650.00 | $3,260.00 | |
United
| Facility | $450.00 | $827.00 | $1,476.00 |