| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $35.09 | $35.09 | $64.92 | |
Medcost
| Professional | $35.09 | $35.09 | $35.09 | |
Oscar Health
| Professional | $38.60 | $53.69 | $67.20 | |
Wellcare
| Facility | $61.06 | $90.00 | $90.00 | |
Wellcare
| Professional | $122.82 | $122.82 | $122.82 |