| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $138.99 | $164.66 | $214.25 | |
Oscar Health
| Professional | $116.00 | $116.00 | $116.00 | |
Wellcare
| Facility | $55.00 | $250.30 | $430.80 | |
Wellcare
| Professional | $760.58 | $760.58 | $760.58 |