| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $162.26 | $189.51 | $199.83 | |
Oscar Health
| Professional | $85.70 | $116.10 | $310.30 | |
Wellcare
| Facility | $272.95 | $302.77 | $627.45 | |
Wellcare
| Professional | $522.83 | $522.83 | $522.83 |