| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $716.10 | $1,400.00 | $2,035.50 |
Aetna
| Professional | QZ | $1,324.40 | $1,539.90 | $2,054.10 |
Ambetter
| Professional | AA | $1,344.00 | $1,344.00 | $1,344.00 |
Highmark BCBS
| Professional | AA | $223.30 | $658.00 | $1,132.20 |
Highmark BCBS
| Professional | QZ | $282.85 | $760.00 | $855.00 |