| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $758.58 | $851.14 | $1,071.52 | |
Medica
| Facility | $602.56 | $891.25 | $1,122.02 | |
Medica
| Professional | $4,168.69 | $4,168.69 | $4,168.69 | |
Sanford Health Plan
| Professional | $489.78 | $691.83 | $776.25 |