| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $524.81 | $933.25 | $1,412.54 |
Aetna
| Professional | QZ | $1,202.26 | $1,202.26 | $1,202.26 |
Highmark BCBS
| Professional | AA | $1,584.89 | $1,819.70 | $1,862.09 |
Highmark BCBS
| Professional | QZ | $954.99 | $1,318.26 | $2,691.53 |