| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $749.27 | $3,106.77 | $4,320.31 | |
Oscar Health
| Professional | $5.00 | $5.00 | $6,293.60 | |
Wellcare
| Facility | $1,256.03 | $1,411.16 | $26,542.00 | |
Wellcare
| Professional | $9,451.00 | $10,880.52 | $10,880.52 |