| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $468.95 | $2,290.13 | $3,223.90 | |
Oscar Health
| Professional | $491.50 | $491.50 | $491.50 | |
Wellcare
| Facility | $770.64 | $770.64 | $8,980.00 | |
Wellcare
| Professional | $2,728.85 | $8,197.86 | $8,197.86 |