| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $310.62 | $363.27 | $752.70 | |
Oscar Health
| Professional | $6.00 | $373.00 | $454.70 | |
Wellcare
| Facility | $547.13 | $6,607.65 | $12,000.00 | |
Wellcare
| Professional | $1,496.00 | $1,496.00 | $1,496.00 |