| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,254,412.00 | $2,254,412.00 | $2,299,500.24 | |
Providence
| Facility | $2,322,044.36 | $2,322,044.36 | $2,322,044.36 | |
United
| Facility | $2,455,110.60 | $2,455,110.60 | $2,455,110.60 | |
Wellpoint
| Professional | $2,322,044.00 | $2,322,044.00 | $3,134,760.00 |