| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $22.39 | $22.39 | $22.39 | |
Cigna
| Professional | $234.42 | $234.42 | $281.84 | |
Geisinger
| Professional | $22.91 | $50.12 | $54.95 | |
United
| Professional | $50.12 | $66.07 | $104.71 |