| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $397.70 | $1,452.90 | $2,154.30 |
Aetna
| Professional | QZ | $556.79 | $1,255.59 | $1,782.00 |
Ambetter
| Professional | QZ | $143.44 | $143.44 | $143.44 |
Highmark BCBS
| Professional | AA | $294.67 | $726.80 | $979.20 |
Highmark BCBS
| Professional | QZ | $200.22 | $330.94 | $1,027.70 |