| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $831.76 | $1,096.48 | $1,659.59 | |
Medica
| Facility | $691.83 | $912.01 | $1,548.82 | |
Medica
| Professional | $2,951.21 | $2,951.21 | $2,951.21 | |
Sanford Health Plan
| Professional | $630.96 | $676.08 | $1,000.00 |