| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $22.93 | $70.62 | $128.33 | |
Medcost
| Professional | $87.00 | $87.00 | $87.00 | |
Oscar Health
| Professional | $4.00 | $4.00 | $194.40 | |
Wellcare
| Facility | $55.00 | $90.00 | $340.85 | |
Wellcare
| Professional | $150.94 | $152.21 | $322.23 |