| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $833.17 | $3,987.75 | $6,398.21 | |
Oscar Health
| Professional | $906.50 | $906.50 | $906.50 | |
Wellcare
| Facility | $1,327.38 | $1,445.08 | $8,980.00 | |
Wellcare
| Professional | $5,070.20 | $17,882.24 | $17,882.24 |