| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $907.20 | $1,870.40 | $2,889.10 |
Aetna
| Professional | QZ | $188.00 | $1,737.20 | $2,989.30 |
Highmark BCBS
| Professional | AA | $409.50 | $1,070.00 | $1,301.28 |
Highmark BCBS
| Professional | QZ | $316.10 | $765.08 | $950.00 |