| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $162.18 | $194.98 | $323.59 | |
Geisinger
| Facility | $91.20 | $91.20 | $91.20 | |
Geisinger
| Professional | $56.23 | $67.61 | $93.33 | |
Oscar Health
| Professional | $144.54 | $169.82 | $213.80 |