| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,148.15 | $11,748.98 | $20,892.96 | |
Medica
| Facility | $812.83 | $1,071.52 | $15,135.61 | |
Medica
| Professional | $2,454.71 | $2,454.71 | $28,840.32 | |
Sanford Health Plan
| Professional | $676.08 | $676.08 | $676.08 |