| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $275.42 | $275.42 | $331.13 | |
Geisinger
| Professional | $190.55 | $239.88 | $331.13 | |
Oscar Health
| Professional | $0.60 | $338.84 | $426.58 | |
UPMC Health Plan
| Professional | $218.78 | $229.09 | $354.81 | |
United
| Professional | $123.03 | $263.03 | $457.09 |