| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Geisinger
| Facility | $870.96 | $870.96 | $870.96 | |
Martin's Point
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Oscar Health
| Professional | $0.60 | $0.60 | $0.60 | |
United
| Facility | $1,659.59 | $3,548.13 | $39,810.72 |