| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $288.08 | $336.11 | $744.06 | |
Oscar Health
| Professional | $254.30 | $339.80 | $431.50 | |
Wellcare
| Facility | $433.26 | $450.64 | $770.25 | |
Wellcare
| Professional | $1,141.00 | $1,141.00 | $1,141.00 |