| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $81.28 | $85.11 | $141.25 | |
Oscar Health
| Facility | $117.49 | $117.49 | $177.83 | |
Oscar Health
| Professional | $102.33 | $158.49 | $204.17 | |
United
| Professional | $72.44 | $95.50 | $114.82 |