| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $311.36 | $371.99 | $4,678.67 | |
Oscar Health
| Professional | $321.00 | $321.00 | $321.00 | |
Wellcare
| Facility | $549.41 | $589.01 | $4,815.68 | |
Wellcare
| Professional | $5,807.00 | $5,807.00 | $7,146.00 |