| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $2,194.00 | $2,194.00 | $2,194.00 | |
Oscar Health
| Professional | $10.00 | $2,923.50 | $4,993.20 | |
Wellcare
| Facility | $4,300.00 | $5,416.04 | $7,055.10 | |
Wellcare
| Professional | $11,256.18 | $11,256.18 | $11,256.18 |