| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $263.03 | $398.11 | $575.44 | |
Geisinger
| Professional | $87.10 | $93.33 | $154.88 | |
Oscar Health
| Facility | $131.83 | $131.83 | $251.19 | |
Oscar Health
| Professional | $125.89 | $186.21 | $245.47 | |
United
| Professional | $75.86 | $109.65 | $154.88 |