| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,348.96 | $1,819.70 | $2,344.23 | |
Geisinger
| Professional | $416.87 | $416.87 | $616.60 | |
Oscar Health
| Facility | $478.63 | $478.63 | $1,000.00 | |
Oscar Health
| Professional | $478.63 | $891.25 | $1,047.13 | |
United
| Professional | $363.08 | $467.74 | $691.83 |