| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $66.07 | $112.20 | $147.91 | |
Oscar Health
| Facility | $323.59 | $323.59 | $436.52 |
Specialty Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $66.07 | $112.20 | $147.91 | |
Oscar Health
| Facility | $323.59 | $323.59 | $436.52 |