| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557,317.93 | $1,526,350.00 | $2,056,790.00 | |
Aetna
| Professional | $557,317.93 | $557,317.93 | $557,317.93 | |
CareFirst
| Professional | $688,687.80 | $783,679.22 | $1,629,102.85 | |
Kaiser Permanente
| Professional | $473,720.24 | $473,720.24 | $557,317.93 |