| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $2,219.69 | $2,219.69 | $2,219.69 | |
United
| Facility | $1,028.00 | $2,680.00 | $4,138.00 | |
Wellcare
| Facility | $55.00 | $3,166.55 | $4,664.43 | |
Wellcare
| Professional | $13,636.00 | $13,636.00 | $13,636.00 |