| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $107.15 | $107.15 | $151.36 | |
Oscar Health
| Facility | $1,000.00 | $1,288.25 | $1,621.81 | |
Oscar Health
| Professional | $141.25 | $154.88 | $251.19 | |
UPMC Health Plan
| Facility | $41.69 | $45.71 | $190.55 | |
UPMC Health Plan
| Professional | $41.69 | $107.15 | $190.55 | |
United
| Facility | $169.82 | $169.82 | $169.82 | |
United
| Professional | $60.26 | $64.57 | $95.50 |