| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $3.98 | $3.98 | $3.98 | |
United
| Facility | $1,174.90 | $3,890.45 | $4,168.69 | |
United
| Professional | $199.53 | $295.12 | $436.52 | |
Wellcare
| Facility | $831.76 | $831.76 | $831.76 | |
Wellcare
| Professional | $831.76 | $831.76 | $831.76 |