| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $563.82 | $2,940.01 | $4,342.75 | |
Oscar Health
| Professional | $570.10 | $570.10 | $570.10 | |
Wellcare
| Facility | $901.40 | $980.68 | $8,980.00 | |
Wellcare
| Professional | $4,909.00 | $11,564.19 | $11,564.19 |