| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $549.54 | $724.44 | $891.25 | |
Medica
| Facility | $302.00 | $512.86 | $1,995.26 | |
Medica
| Professional | $1,202.26 | $1,445.44 | $1,445.44 | |
Sanford Health Plan
| Professional | $309.03 | $446.68 | $549.54 |