| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $157.00 | $157.00 | $157.00 | |
Oscar Health
| Professional | $3.00 | $173.00 | $333.10 | |
Wellcare
| Facility | $55.00 | $220.07 | $2,922.50 | |
Wellcare
| Professional | $1,297.00 | $1,297.00 | $1,297.00 |