| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QX | $524.81 | $524.81 | $912.01 |
Highmark BCBS
| Professional | AA | $398.11 | $398.11 | $398.11 |
Highmark BCBS
| Professional | QX | $426.58 | $426.58 | $426.58 |
Highmark BCBS
| Professional | QZ | $309.03 | $346.74 | $501.19 |