| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $385.00 | $385.00 | $385.00 | |
Oscar Health
| Professional | $3.00 | $430.70 | $807.20 | |
Wellcare
| Facility | $568.24 | $1,758.72 | $16,394.00 | |
Wellcare
| Professional | $1,313.00 | $1,408.12 | $1,530.66 |