| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $740.52 | $871.41 | $1,948.88 | |
Oscar Health
| Professional | $882.80 | $882.80 | $882.80 | |
Wellcare
| Facility | $55.00 | $1,279.72 | $2,185.00 | |
Wellcare
| Professional | $4,854.00 | $4,854.00 | $4,854.00 |