| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $58.00 | $400.00 | $458.00 | |
Oscar Health
| Professional | $340.70 | $458.00 | $814.70 | |
Wellcare
| Facility | $746.75 | $794.31 | $3,616.95 | |
Wellcare
| Professional | $1,561.00 | $1,654.48 | $1,654.48 |