| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,380.38 | $2,398.83 | $3,890.45 | |
Excellus BCBS
| Facility | $263.03 | $1,737.80 | $3,801.89 | |
Univera
| Facility | $263.03 | $263.03 | $1,737.80 |
Leave of Absence-Other LOA
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,380.38 | $2,398.83 | $3,890.45 | |
Excellus BCBS
| Facility | $263.03 | $1,737.80 | $3,801.89 | |
Univera
| Facility | $263.03 | $263.03 | $1,737.80 |