| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $133.50 | $672.30 | $1,400.00 |
Ambetter
| Professional | AA | $126.66 | $168.88 | $168.88 |
Highmark BCBS
| Professional | AA | $466.86 | $754.04 | $1,515.80 |
Martin's Point
| Professional | AA | $537.20 | $725.20 | $1,680.00 |
United
| Professional | AA | $85.00 | $85.00 | $85.00 |