| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $314.43 | $816.08 | $2,210.32 | |
Oscar Health
| Professional | $1,029.09 | $1,029.09 | $1,029.09 | |
Wellcare
| Facility | $780.34 | $1,104.39 | $1,918.00 | |
Wellcare
| Professional | $5,807.00 | $5,807.00 | $5,807.00 |