| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $43.65 | $74.13 | $123.03 | |
Oscar Health
| Professional | $60.26 | $60.26 | $60.26 | |
Wellcare
| Facility | $190.55 | $190.55 | $194.98 | |
Wellcare
| Professional | $229.09 | $229.09 | $416.87 |