| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $64.00 | $231.00 | $295.00 | |
Oscar Health
| Professional | $349.40 | $433.60 | $498.60 | |
Wellcare
| Facility | $522.41 | $562.01 | $1,340.15 | |
Wellcare
| Professional | $1,344.06 | $1,344.06 | $1,344.06 |