| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,139.08 | $1,345.46 | $2,568.76 | |
Oscar Health
| Professional | $5.00 | $1,146.70 | $1,875.90 | |
Wellcare
| Facility | $2,200.94 | $5,448.50 | $26,542.00 | |
Wellcare
| Professional | $4,110.00 | $4,110.00 | $4,110.00 |