| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Facility | $87,096.36 | $125,892.54 | $141,253.75 |
Leave of Absence-Patient Convenience
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Facility | $87,096.36 | $125,892.54 | $141,253.75 |