| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $41.00 | $415.00 | $456.00 | |
Oscar Health
| Professional | $274.39 | $369.20 | $796.30 | |
Wellcare
| Facility | $598.57 | $629.76 | $1,078.65 | |
Wellcare
| Professional | $1,407.74 | $1,663.45 | $1,663.45 |