| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,655.50 | $2,800.00 | $3,841.00 |
Aetna
| Professional | QZ | $453.26 | $2,521.69 | $5,194.39 |
Highmark BCBS
| Professional | AA | $1,003.50 | $2,294.40 | $4,950.00 |
Highmark BCBS
| Professional | QZ | $1,815.00 | $1,815.00 | $2,689.80 |