| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $261.77 | $749.15 | $2,064.90 | |
Oscar Health
| Professional | $973.00 | $973.00 | $973.00 | |
Wellcare
| Facility | $729.98 | $1,030.77 | $2,070.00 | |
Wellcare
| Professional | $6,266.00 | $6,266.00 | $6,266.00 |