| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $109.65 | $109.65 | $109.65 | |
Wellcare
| Facility | $245.47 | $245.47 | $245.47 | |
Wellcare
| Professional | $245.47 | $245.47 | $245.47 |
Medical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $109.65 | $109.65 | $109.65 | |
Wellcare
| Facility | $245.47 | $245.47 | $245.47 | |
Wellcare
| Professional | $245.47 | $245.47 | $245.47 |