| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,754.23 | $2,754.23 | $3,388.44 | |
Medica
| Facility | $1,995.26 | $2,570.40 | $3,467.37 | |
Medica
| Professional | $8,709.64 | $8,709.64 | $8,709.64 | |
Sanford Health Plan
| Professional | $1,584.89 | $1,949.84 | $2,290.87 |