| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $59.00 | $383.00 | $442.00 | |
Oscar Health
| Professional | $334.50 | $443.80 | $753.40 | |
Wellcare
| Facility | $730.12 | $774.69 | $1,340.15 | |
Wellcare
| Professional | $1,572.00 | $1,769.44 | $1,769.44 |