| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $524.81 | $588.84 | $741.31 | |
Medica
| Facility | $331.13 | $407.38 | $575.44 | |
Medica
| Professional | $3,630.78 | $3,630.78 | $3,630.78 | |
Sanford Health Plan
| Professional | $234.42 | $295.12 | $457.09 |