| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $767.69 | $921.22 | $2,002.05 | |
Oscar Health
| Professional | $669.80 | $884.70 | $1,198.00 | |
Wellcare
| Facility | $1,349.51 | $1,349.51 | $5,563.56 | |
Wellcare
| Professional | $4,522.00 | $4,522.00 | $4,522.00 |