| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $331.84 | $591.33 | $1,530.50 | |
Oscar Health
| Professional | $3.00 | $571.90 | $774.20 | |
Wellcare
| Facility | $55.00 | $642.13 | $775.50 | |
Wellcare
| Professional | $1,241.70 | $1,798.60 | $2,352.54 |