| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $436.52 | $489.78 | $616.60 | |
Medica
| Facility | $331.13 | $371.54 | $575.44 | |
Medica
| Professional | $3,090.30 | $3,090.30 | $3,090.30 | |
Sanford Health Plan
| Professional | $251.19 | $302.00 | $302.00 |