| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,540.00 | $2,666.00 | $3,250.80 |
Aetna
| Professional | QZ | $1,505.00 | $1,599.60 | $2,989.30 |
Highmark BCBS
| Professional | AA | $382.80 | $1,510.00 | $1,896.00 |
Highmark BCBS
| Professional | QZ | $839.50 | $839.50 | $839.50 |