| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $2,041.74 | $2,041.74 | |
Emblem Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Highmark BCBS
| Facility | $0.25 | $2.24 | $47.86 |
Pharmacy-Other Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $2,041.74 | $2,041.74 | |
Emblem Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Highmark BCBS
| Facility | $0.25 | $2.24 | $47.86 |