| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $95.01 | $129.71 | $291.93 | |
Oscar Health
| Professional | $92.00 | $99.20 | $133.10 | |
Wellcare
| Facility | $115.34 | $169.97 | $348.00 | |
Wellcare
| Professional | $874.00 | $874.00 | $874.00 |