| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,680.00 | $1,680.00 | $1,680.00 |
Highmark BCBS
| Professional | AA | $324.77 | $412.73 | $721.98 |
Highmark BCBS
| Professional | QZ | $439.79 | $615.71 | $737.50 |
Martin's Point
| Professional | AA | $1,680.00 | $1,680.00 | $1,680.00 |