| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $255.98 | $753.84 | $2,066.98 | |
Oscar Health
| Professional | $970.60 | $970.60 | $970.60 | |
Wellcare
| Facility | $730.92 | $1,030.77 | $1,949.64 | |
Wellcare
| Professional | $5,432.00 | $5,432.00 | $5,432.00 |