| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $496.80 | $542.14 | $979.80 |
Aetna
| Professional | QZ | $567.55 | $610.65 | $1,143.58 |
Highmark BCBS
| Professional | AA | $471.75 | $471.75 | $653.03 |
Highmark BCBS
| Professional | QZ | $392.97 | $676.41 | $1,148.61 |