| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $501.19 | $912.01 | $1,412.54 | |
Geisinger
| Facility | $239.88 | $239.88 | $239.88 | |
Geisinger
| Professional | $229.09 | $229.09 | $389.05 | |
Oscar Health
| Facility | $389.05 | $389.05 | $389.05 | |
Oscar Health
| Professional | $302.00 | $323.59 | $660.69 |