| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $142.63 | $142.63 | $263.87 | |
Medcost
| Professional | $142.63 | $142.63 | $142.63 | |
Oscar Health
| Professional | $156.88 | $218.22 | $273.14 | |
Wellcare
| Facility | $248.18 | $541.99 | $541.99 | |
Wellcare
| Professional | $570.52 | $570.52 | $641.84 |