| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $614.97 | $614.97 | $614.97 |
Aetna
| Professional | AA | $441.60 | $1,152.30 | $2,304.80 |
Ambetter
| Professional | AA | $126.57 | $180.81 | $255.00 |
Highmark BCBS
| Professional | AA | $228.00 | $526.50 | $814.90 |