| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $770.00 | $931.88 | $2,059.90 | |
Oscar Health
| Professional | $913.60 | $913.60 | $913.60 | |
Wellcare
| Facility | $55.00 | $1,549.67 | $2,292.84 | |
Wellcare
| Professional | $7,159.00 | $7,159.00 | $7,159.00 |