| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $223.87 | $257.04 | $316.23 | |
Medica
| Facility | $125.89 | $190.55 | $239.88 | |
Medica
| Professional | $478.63 | $478.63 | $489.78 | |
Sanford Health Plan
| Professional | $74.13 | $112.20 | $112.20 |