| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $345.00 | $364.25 | $462.30 |
Aetna
| Professional | QZ | $576.03 | $576.03 | $576.03 |
Highmark BCBS
| Professional | AA | $500.21 | $500.21 | $500.21 |
Highmark BCBS
| Professional | QZ | $334.99 | $439.60 | $829.04 |