| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,073.80 | $5,623.41 | $7,079.46 | |
Geisinger
| Professional | $1,513.56 | $1,905.46 | $3,235.94 | |
Oscar Health
| Facility | $1,258.93 | $1,258.93 | $1,445.44 | |
Oscar Health
| Professional | $1,258.93 | $2,754.23 | $3,311.31 |