| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $4,121.04 | $22,404.51 | $30,546.20 |
Medical/Surgical Supplies and Devices-Other Supplies/Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $4,121.04 | $22,404.51 | $30,546.20 |