| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $606.27 | $757.21 | $895.13 |
Aetna
| Professional | QZ | $1,372.30 | $1,372.30 | $1,372.30 |
Highmark BCBS
| Professional | AA | $529.25 | $529.25 | $886.85 |
Highmark BCBS
| Professional | QZ | $463.83 | $496.00 | $570.40 |