| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,682.00 | $1,682.00 | $1,682.00 | |
Oscar Health
| Professional | $10.00 | $2,001.00 | $3,903.20 | |
Wellcare
| Facility | $2,630.76 | $4,844.26 | $5,000.00 | |
Wellcare
| Professional | $10,396.14 | $10,396.14 | $10,396.14 |