| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $812.83 | $1,023.29 | $1,258.93 | |
Geisinger
| Professional | $407.38 | $407.38 | $602.56 | |
Oscar Health
| Facility | $512.86 | $512.86 | $512.86 | |
Oscar Health
| Professional | $512.86 | $537.03 | $891.25 |