| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $450.91 | $450.91 | $834.18 | |
Medcost
| Professional | $293.08 | $293.08 | $450.91 | |
Oscar Health
| Professional | $450.91 | $689.89 | $863.49 | |
Wellcare
| Facility | $784.58 | $1,713.46 | $1,713.46 | |
Wellcare
| Professional | $2,254.55 | $2,254.55 | $2,254.55 |