| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,019.95 | $3,019.95 | $3,801.89 | |
Medica
| Facility | $2,089.30 | $2,511.89 | $3,801.89 | |
Medica
| Professional | $15,488.17 | $15,488.17 | $15,488.17 | |
Sanford Health Plan
| Professional | $1,737.80 | $2,454.71 | $2,884.03 |