| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $342,804.00 | $342,804.00 | $538,692.00 | |
Aetna
| Professional | $489,304.61 | $489,304.61 | $494,197.65 | |
CareSource
| Facility | $489,304.60 | $538,235.10 | $733,956.90 | |
CareSource
| Professional | $489,304.61 | $489,304.61 | $1,134,476.31 |