| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,513.56 | $1,995.26 | $3,019.95 | |
Medica
| Facility | $1,096.48 | $1,621.81 | $2,754.23 | |
Medica
| Professional | $4,265.80 | $4,265.80 | $4,677.35 | |
Sanford Health Plan
| Professional | $1,047.13 | $1,230.27 | $1,778.28 |