| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.70 | $102.33 | $181.97 | |
Geisinger
| Professional | $61.66 | $61.66 | $61.66 | |
Oscar Health
| Facility | $64.57 | $64.57 | $64.57 | |
Oscar Health
| Professional | $60.26 | $63.10 | $120.23 |