| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $295.32 | $343.38 | $784.52 | |
Oscar Health
| Professional | $315.00 | $315.00 | $315.00 | |
Wellcare
| Facility | $55.00 | $554.84 | $1,300.00 | |
Wellcare
| Professional | $2,154.00 | $2,154.00 | $2,154.00 |