| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $701.37 | $898.99 | $9,320.20 | |
Oscar Health
| Professional | $5.00 | $5.00 | $21,526.60 | |
Wellcare
| Facility | $55.00 | $12,413.80 | $21,234.10 | |
Wellcare
| Professional | $2,446.67 | $28,592.13 | $28,592.13 |