| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $114.82 | $138.04 | $229.09 | |
Geisinger
| Facility | $97.72 | $97.72 | $97.72 | |
Geisinger
| Professional | $57.54 | $70.79 | $97.72 | |
Oscar Health
| Professional | $120.23 | $144.54 | $181.97 |