| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,470.53 | $1,764.63 | $4,020.46 | |
Oscar Health
| Professional | $6.00 | $1,591.10 | $2,526.60 | |
Wellcare
| Facility | $2,798.45 | $11,604.80 | $26,542.00 | |
Wellcare
| Professional | $5,178.67 | $5,178.67 | $5,178.67 |