| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $389.05 | $489.78 | $794.33 | |
Medica
| Facility | $234.42 | $371.54 | $602.56 | |
Medica
| Professional | $1,621.81 | $1,621.81 | $1,621.81 | |
Sanford Health Plan
| Professional | $186.21 | $316.23 | $316.23 |