| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $724.44 | $724.44 | $912.01 | |
Medica
| Facility | $575.44 | $691.83 | $912.01 | |
Medica
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
Sanford Health Plan
| Professional | $457.09 | $602.56 | $660.69 |