| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $43.00 | $230.00 | $273.00 | |
Oscar Health
| Professional | $328.80 | $409.10 | $470.50 | |
Wellcare
| Facility | $481.80 | $517.84 | $3,616.95 | |
Wellcare
| Professional | $1,429.00 | $1,429.00 | $1,429.00 |