| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $186.21 | $676.08 | $1,174.90 |
Aetna
| Professional | QZ | $776.25 | $776.25 | $776.25 |
Highmark BCBS
| Professional | AA | $512.86 | $512.86 | $512.86 |
Highmark BCBS
| Professional | QZ | $478.63 | $630.96 | $794.33 |