| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $262.73 | $442.02 | $944.39 | |
Oscar Health
| Facility | $40.21 | $884.45 | $1,146.74 | |
United
| Facility | $3,850.00 | $3,850.00 | $3,850.00 |
Pharmacy - Drugs Incident to Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $262.73 | $442.02 | $944.39 | |
Oscar Health
| Facility | $40.21 | $884.45 | $1,146.74 | |
United
| Facility | $3,850.00 | $3,850.00 | $3,850.00 |