| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $537.20 | $1,336.00 | $2,106.30 |
Ambetter
| Professional | AA | $1,103.30 | $1,103.30 | $1,103.30 |
Highmark BCBS
| Professional | AA | $272.39 | $733.20 | $1,277.07 |
United
| Professional | AA | $85.00 | $85.00 | $85.00 |