| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $261.00 | $723.81 | $1,015.08 | |
Oscar Health
| Facility | $1,891.72 | $2,932.00 | $16,725.59 |
Special Charges - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $261.00 | $723.81 | $1,015.08 | |
Oscar Health
| Facility | $1,891.72 | $2,932.00 | $16,725.59 |