| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Facility | $977.24 | $977.24 | $12,589.25 | |
Geisinger
| Professional | $912.01 | $912.01 | $1,621.81 | |
Oscar Health
| Professional | $1,096.48 | $1,174.90 | $1,659.59 | |
United
| Professional | $1,122.02 | $1,122.02 | $1,318.26 |