| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $907.20 | $1,540.00 | $2,240.00 |
Aetna
| Professional | QZ | $483.48 | $483.48 | $483.48 |
Highmark BCBS
| Professional | AA | $405.96 | $778.09 | $933.71 |
Highmark BCBS
| Professional | QZ | $659.69 | $825.46 | $967.54 |
Martin's Point
| Professional | AA | $812.35 | $1,120.00 | $1,820.00 |
Martin's Point
| Professional | QZ | $483.48 | $483.48 | $483.48 |