| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $557,317.93 | $557,317.93 | $557,317.93 | |
Kaiser Permanente
| Professional | $557,317.93 | $557,317.93 | $570,577.44 | |
Wellpoint
| Professional | $528,312.40 | $528,312.40 | $528,312.40 |