| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $22.25 | $22.25 | $41.43 | |
Oscar Health
| Professional | $8.68 | $22.24 | $41.06 | |
Wellcare
| Facility | $141.41 | $141.41 | $141.41 | |
Wellcare
| Professional | $236.16 | $236.16 | $236.16 |