| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $3,360.00 | $3,360.00 | $3,780.00 |
Highmark BCBS
| Professional | AA | $1,100.24 | $1,298.01 | $2,298.08 |
Highmark BCBS
| Professional | QZ | $737.50 | $972.06 | $1,725.33 |
Martin's Point
| Professional | AA | $3,360.00 | $3,360.00 | $3,780.00 |
United
| Professional | QZ | $80.00 | $80.00 | $80.00 |