| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $36.17 | $52.22 | $89.60 | |
Oscar Health
| Professional | $64.59 | $64.59 | $64.59 | |
Wellcare
| Facility | $87.73 | $158.25 | $158.25 | |
Wellcare
| Professional | $228.00 | $228.00 | $318.20 |