| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $938.52 | $938.52 | $938.52 |
Aetna
| Professional | AA | $828.00 | $897.00 | $1,615.88 |
Highmark BCBS
| Professional | AA | $368.43 | $368.43 | $368.43 |
Highmark BCBS
| Professional | QZ | $581.88 | $776.27 | $1,333.50 |