| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $141.25 | $141.25 | $141.25 | |
Oscar Health
| Facility | $2,137.96 | $2,137.96 | $2,951.21 | |
Oscar Health
| Professional | $158.49 | $186.21 | $275.42 | |
United
| Facility | $85.11 | $141.25 | $169.82 | |
United
| Professional | $74.13 | $95.50 | $234.42 | |
Wellcare
| Facility | $676.08 | $676.08 | $676.08 | |
Wellcare
| Professional | $707.95 | $1,071.52 | $1,071.52 |