| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,820.00 | $3,285.20 | $4,410.00 |
Aetna
| Professional | QZ | $2,769.20 | $2,924.00 | $3,309.90 |
Ambetter
| Professional | AA | $1,985.94 | $1,985.94 | $1,985.94 |
Highmark BCBS
| Professional | AA | $787.50 | $1,664.88 | $2,370.00 |
Highmark BCBS
| Professional | QZ | $438.57 | $508.00 | $1,066.40 |