| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $234.42 | $389.05 | $467.74 | |
Geisinger
| Facility | $100.00 | $100.00 | $100.00 | |
Geisinger
| Professional | $74.13 | $102.33 | $177.83 | |
Oscar Health
| Professional | $125.89 | $229.09 | $309.03 |