| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $194.98 | $194.98 | $446.68 | |
Emblem Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Highmark BCBS
| Facility | $0.56 | $5.13 | $34.67 |
Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $194.98 | $194.98 | $446.68 | |
Emblem Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Highmark BCBS
| Facility | $0.56 | $5.13 | $34.67 |