| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $806.37 | $1,073.67 | $1,465.91 | |
Oscar Health
| Professional | $762.60 | $1,030.09 | $1,184.70 | |
Wellcare
| Facility | $1,054.80 | $1,083.28 | $1,946.58 | |
Wellcare
| Professional | $2,567.06 | $2,567.06 | $2,567.06 |