| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,400.00 | $1,680.00 | $1,960.00 |
Aetna
| Professional | QZ | $850.68 | $850.68 | $850.68 |
Highmark BCBS
| Professional | AA | $723.97 | $812.08 | $954.01 |
Martin's Point
| Professional | AA | $1,400.00 | $1,680.00 | $1,960.00 |
Martin's Point
| Professional | QZ | $850.68 | $850.68 | $850.68 |