| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,162.28 | $3,162.28 | $3,890.45 | |
Medica
| Facility | $2,187.76 | $2,570.40 | $3,890.45 | |
Medica
| Professional | $16,218.10 | $16,218.10 | $16,218.10 | |
Sanford Health Plan
| Professional | $1,905.46 | $2,570.40 | $2,951.21 |