| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $158.49 | |
Cigna
| Facility | $38.90 | $95.50 | $100.00 | |
Geisinger
| Facility | $114.82 | $131.83 | $162.18 | |
Martin's Point
| Facility | $158.49 | $158.49 | $169.82 | |
Oscar Health
| Facility | $275.42 | $288.40 | $323.59 |