| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $59.30 | $59.30 | $59.30 | |
Oscar Health
| Professional | $10.00 | $10.00 | $10.00 | |
Wellcare
| Facility | $80.00 | $116.67 | $200.00 | |
Wellcare
| Professional | $228.13 | $228.13 | $228.13 |