| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $251.19 | $251.19 | $275.42 | |
Geisinger
| Facility | $61.66 | $61.66 | $61.66 | |
Geisinger
| Professional | $53.70 | $64.57 | $95.50 | |
Oscar Health
| Facility | $87.10 | $87.10 | $87.10 | |
Oscar Health
| Professional | $75.86 | $144.54 | $190.55 |