| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $75.00 | $379.00 | $455.00 | |
Oscar Health
| Professional | $325.00 | $355.90 | $778.30 | |
Wellcare
| Facility | $751.79 | $791.80 | $3,616.95 | |
Wellcare
| Professional | $1,820.00 | $1,820.00 | $1,820.00 |