| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $2,034.45 | $2,391.17 | $5,303.17 | |
Oscar Health
| Professional | $2,609.90 | $2,609.90 | $2,609.90 | |
Wellcare
| Facility | $55.00 | $3,932.15 | $5,753.88 | |
Wellcare
| Professional | $15,341.00 | $15,341.00 | $15,341.00 |