| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $2,125.21 | $2,508.84 | $5,560.57 | |
Oscar Health
| Professional | $2,673.30 | $2,673.30 | $2,673.30 | |
Wellcare
| Facility | $55.00 | $4,038.10 | $5,819.55 | |
Wellcare
| Professional | $16,279.00 | $16,279.00 | $16,279.00 |