| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $300.94 | $377.06 | $587.04 | |
Oscar Health
| Professional | $589.20 | $589.20 | $589.20 | |
Wellcare
| Facility | $558.37 | $6,366.50 | $26,542.00 | |
Wellcare
| Professional | $3,126.00 | $3,126.00 | $3,126.00 |