| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $127.05 | $156.47 | $198.94 | |
Oscar Health
| Facility | $165.55 | $165.55 | $258.25 | |
Wellcare
| Facility | $100.00 | $200.00 | $200.00 | |
Wellcare
| Professional | $165.00 | $165.00 | $165.00 |