| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $6,087.00 | $6,087.00 | $6,087.00 | |
United
| Facility | $947.00 | $1,959.00 | $9,402.00 |
Leave Of Absence/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $6,087.00 | $6,087.00 | $6,087.00 | |
United
| Facility | $947.00 | $1,959.00 | $9,402.00 |