| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $111.40 | $149.66 | $206.77 | |
Oscar Health
| Professional | $6.00 | $6.00 | $295.30 | |
Wellcare
| Facility | $120.85 | $219.77 | $12,000.00 | |
Wellcare
| Professional | $478.52 | $478.52 | $492.17 |