| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $429.00 | $429.00 | $429.00 |
Aetna
| Professional | AA | $662.40 | $669.30 | $895.13 |
Aetna
| Professional | QZ | $210.00 | $432.02 | $601.44 |
Highmark BCBS
| Professional | AA | $438.06 | $657.91 | $750.31 |
Highmark BCBS
| Professional | QZ | $327.50 | $508.28 | $666.94 |