| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,540.00 | $1,540.00 | $1,540.00 |
Ambetter
| Professional | QZ | $160.40 | $160.40 | $160.40 |
Highmark BCBS
| Professional | AA | $504.28 | $629.24 | $2,032.73 |
Highmark BCBS
| Professional | QZ | $313.20 | $473.62 | $737.50 |
Martin's Point
| Professional | AA | $1,120.00 | $1,540.00 | $1,540.00 |