| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $712.48 | $2,977.42 | $4,120.85 | |
Oscar Health
| Professional | $5.00 | $5.00 | $6,270.80 | |
Wellcare
| Facility | $1,196.74 | $1,344.55 | $26,542.00 | |
Wellcare
| Professional | $9,087.00 | $9,915.25 | $9,915.25 |