| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,308.33 | $1,482.77 | $1,831.03 | |
Oscar Health
| Professional | $1,310.70 | $1,310.70 | $1,310.70 | |
Wellcare
| Facility | $55.00 | $2,216.73 | $3,658.83 | |
Wellcare
| Professional | $4,286.49 | $5,352.35 | $5,352.35 |