| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,008.00 | $4,037.00 | $4,768.00 | |
United
| Facility | $1,136.00 | $1,136.00 | $1,136.00 |
Leave Of Absence/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,008.00 | $4,037.00 | $4,768.00 | |
United
| Facility | $1,136.00 | $1,136.00 | $1,136.00 |