| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna
| Professional | AA | $467.74 | $616.60 | $977.24 |
Aetna
| Professional | QZ | $245.47 | $537.03 | $602.56 |
Highmark BCBS
| Professional | AA | $426.58 | $537.03 | $1,000.00 |
Highmark BCBS
| Professional | QZ | $416.87 | $676.08 | $954.99 |