| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $748.42 | $977.94 | $2,062.83 | |
Oscar Health
| Professional | $714.00 | $769.50 | $992.80 | |
Wellcare
| Facility | $870.30 | $1,261.64 | $1,683.81 | |
Wellcare
| Professional | $5,247.00 | $5,247.00 | $5,247.00 |