| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $75.95 | $116.08 | $179.18 | |
Oscar Health
| Professional | $3.00 | $3.00 | $234.80 | |
Wellcare
| Facility | $55.00 | $135.97 | $1,300.00 | |
Wellcare
| Professional | $322.00 | $491.77 | $491.77 |