| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $16.55 | $43.81 | $79.61 | |
Medcost
| Professional | $54.00 | $54.00 | $54.00 | |
Oscar Health
| Professional | $3.00 | $3.00 | $120.00 | |
Wellcare
| Facility | $55.00 | $115.92 | $205.75 | |
Wellcare
| Professional | $93.35 | $94.30 | $198.55 |