| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,469.60 | $1,724.80 | $2,885.10 |
Aetna
| Professional | QZ | $2,029.60 | $2,029.60 | $2,029.60 |
Highmark BCBS
| Professional | AA | $648.00 | $939.47 | $1,186.26 |
Highmark BCBS
| Professional | QZ | $989.00 | $989.00 | $989.00 |