| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $336.89 | $418.97 | $5,697.60 | |
Oscar Health
| Professional | $13,474.90 | $13,474.90 | $13,474.90 | |
Wellcare
| Facility | $55.00 | $693.41 | $7,589.59 | |
Wellcare
| Professional | $1,187.55 | $17,449.43 | $17,449.43 |