| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $207.46 | $271.08 | $667.73 | |
Oscar Health
| Professional | $225.40 | $241.10 | $301.39 | |
Wellcare
| Facility | $305.82 | $380.65 | $778.41 | |
Wellcare
| Professional | $1,012.00 | $1,012.00 | $1,012.00 |