| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597,643.46 | $597,643.46 | $597,643.46 | |
Aetna
| Professional | $591,726.19 | $591,726.19 | $597,643.46 | |
CareSource
| Facility | $591,726.19 | $650,898.80 | $887,589.30 | |
CareSource
| Professional | $591,726.19 | $591,726.19 | $1,371,945.68 |