| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,897.94 | $2,340.79 | $5,044.49 | |
Oscar Health
| Professional | $2,257.10 | $2,257.10 | $2,257.10 | |
Wellcare
| Facility | $55.00 | $3,516.71 | $5,986.86 | |
Wellcare
| Professional | $15,682.00 | $15,682.00 | $15,682.00 |