| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $136.76 | $208.91 | $522.51 | |
Oscar Health
| Professional | $151.50 | $174.30 | $237.90 | |
Wellcare
| Facility | $195.34 | $287.27 | $435.24 | |
Wellcare
| Professional | $802.00 | $919.93 | $919.93 |