| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $2,388.00 | $2,818.85 | $5,795.65 | |
Oscar Health
| Professional | $11.00 | $2,465.19 | $4,050.10 | |
Wellcare
| Facility | $55.00 | $4,972.96 | $6,604.80 | |
Wellcare
| Professional | $8,314.60 | $8,314.60 | $8,314.60 |