| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $128.90 | $128.90 | $128.90 |
Highmark BCBS
| Professional | AA | $243.28 | $2,032.71 | $2,861.58 |
Highmark BCBS
| Professional | QX | $317.47 | $379.67 | $502.50 |
Highmark BCBS
| Professional | QZ | $300.20 | $517.50 | $720.00 |