| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $53.00 | $378.00 | $431.00 | |
Oscar Health
| Professional | $363.20 | $488.70 | $736.40 | |
Wellcare
| Facility | $714.13 | $759.76 | $3,616.95 | |
Wellcare
| Professional | $1,406.43 | $1,703.26 | $1,703.26 |