| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $476.10 | $503.70 | $918.38 |
Aetna
| Professional | QZ | $550.62 | $550.62 | $635.33 |
Highmark BCBS
| Professional | AA | $647.46 | $647.46 | $647.46 |
Highmark BCBS
| Professional | QZ | $374.28 | $477.40 | $998.82 |
United
| Professional | QZ | $90.00 | $90.00 | $90.00 |