| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,258.93 | $1,258.93 | $1,548.82 | |
Medica
| Facility | $660.69 | $1,096.48 | $1,698.24 | |
Medica
| Professional | $2,884.03 | $2,884.03 | $2,884.03 | |
Sanford Health Plan
| Professional | $501.19 | $812.83 | $1,096.48 |