| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.09 | $416.87 | $660.69 | |
Geisinger
| Facility | $112.20 | $112.20 | $112.20 | |
Geisinger
| Professional | $97.72 | $97.72 | $165.96 | |
Oscar Health
| Facility | $177.83 | $177.83 | $177.83 | |
Oscar Health
| Professional | $138.04 | $177.83 | $275.42 |