| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.55 | $323.59 | $389.05 | |
Geisinger
| Facility | $87.10 | $87.10 | $87.10 | |
Geisinger
| Professional | $69.18 | $91.20 | $162.18 | |
Oscar Health
| Professional | $114.82 | $190.55 | $251.19 |