| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $190.82 | $293.08 | $394.01 | |
Oscar Health
| Professional | $3.00 | $3.00 | $596.60 | |
Wellcare
| Facility | $55.00 | $370.05 | $1,300.00 | |
Wellcare
| Professional | $1,286.00 | $1,286.00 | $1,306.17 |