| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $436.52 | $741.31 | $1,288.25 |
Aetna
| Professional | QZ | $741.31 | $1,047.13 | $1,202.26 |
Highmark BCBS
| Professional | AA | $213.80 | $724.44 | $2,398.83 |
Highmark BCBS
| Professional | QZ | $398.11 | $707.95 | $1,023.29 |