| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,858.98 | $2,195.85 | $4,879.43 | |
Oscar Health
| Professional | $2,478.10 | $2,478.10 | $2,478.10 | |
Wellcare
| Facility | $55.00 | $3,738.30 | $5,184.27 | |
Wellcare
| Professional | $13,636.00 | $13,636.00 | $13,636.00 |