| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $787.20 | $2,116.80 | $2,989.30 |
Aetna
| Professional | QZ | $1,135.59 | $1,686.70 | $2,638.60 |
Highmark BCBS
| Professional | AA | $301.91 | $1,007.48 | $1,396.95 |
Highmark BCBS
| Professional | QZ | $963.60 | $963.60 | $1,658.93 |