| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $776.25 | $1,047.13 | $1,348.96 | |
Geisinger
| Professional | $309.03 | $309.03 | $426.58 | |
Oscar Health
| Facility | $371.54 | $371.54 | $436.52 | |
Oscar Health
| Professional | $371.54 | $537.03 | $630.96 |