| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $637.33 | $637.33 | $637.33 | |
Oscar Health
| Professional | $233.50 | $233.50 | $233.50 | |
Wellcare
| Facility | $768.32 | $1,097.59 | $1,097.59 | |
Wellcare
| Professional | $2,848.34 | $2,848.34 | $2,848.34 |