| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $492.66 | $676.85 | $932.00 | |
Oscar Health
| Professional | $4.00 | $4.00 | $1,214.59 | |
Wellcare
| Facility | $55.00 | $2,509.82 | $4,516.05 | |
Wellcare
| Professional | $2,109.44 | $2,109.44 | $2,109.44 |