| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,599.08 | $1,967.47 | $3,967.83 | |
Oscar Health
| Professional | $11.00 | $1,973.10 | $2,558.10 | |
Wellcare
| Facility | $55.00 | $4,500.39 | $11,632.60 | |
Wellcare
| Professional | $6,543.26 | $8,064.84 | $8,064.84 |