| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $478.63 | $575.44 | |
Geisinger
| Facility | $102.33 | $102.33 | $102.33 | |
Geisinger
| Professional | $72.44 | $138.04 | $295.12 | |
Oscar Health
| Professional | $120.23 | $295.12 | $407.38 | |
United
| Professional | $74.13 | $177.83 | $245.47 |