| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,316.55 | $1,711.51 | $2,257.09 | |
Oscar Health
| Professional | $1,773.10 | $1,773.10 | $2,039.10 | |
Wellcare
| Facility | $1,674.34 | $1,726.04 | $2,895.18 | |
Wellcare
| Professional | $3,816.68 | $3,816.68 | $3,816.68 |