| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $562.34 | $562.34 | $630.96 | |
Geisinger
| Professional | $190.55 | $190.55 | $190.55 | |
Oscar Health
| Facility | $281.84 | $281.84 | $281.84 | |
Oscar Health
| Professional | $245.47 | $245.47 | $281.84 |