| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $600.29 | $905.25 | $905.25 |
Aetna
| Professional | QX | $377.88 | $377.88 | $487.08 |
Highmark BCBS
| Professional | QX | $508.78 | $612.58 | $1,176.41 |
Highmark BCBS
| Professional | QZ | $860.01 | $900.60 | $966.30 |