| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $199.53 | $199.53 | $199.53 | |
Oscar Health
| Professional | $190.55 | $229.09 | $269.15 | |
Wellcare
| Facility | $56.23 | $2,951.21 | $2,951.21 | |
Wellcare
| Professional | $1,288.25 | $1,288.25 | $1,288.25 |