| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $6.00 | $1,782.00 | $4,427.30 |
Thrmbc Prq Arven Fstl Autog/Nonautog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $6.00 | $1,782.00 | $4,427.30 |