| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Geisinger
| Facility | $257.04 | $457.09 | $549.54 |
Level 3 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Geisinger
| Facility | $257.04 | $457.09 | $549.54 |