| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,559.00 | $1,559.00 | $1,559.00 | |
Oscar Health
| Professional | $5.00 | $1,672.60 | $3,247.40 | |
Wellcare
| Facility | $55.00 | $3,344.85 | $4,466.45 | |
Wellcare
| Professional | $7,309.74 | $7,309.74 | $7,309.74 |