| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $104.45 | $132.30 | $1,680.00 |
Ambetter
| Professional | QZ | $122.88 | $122.88 | $122.88 |
Highmark BCBS
| Professional | AA | $321.89 | $988.80 | $1,230.15 |
Highmark BCBS
| Professional | QZ | $882.00 | $882.00 | $882.00 |