| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $512.86 | $1,949.84 | |
Medica
| Facility | $407.38 | $933.25 | $2,290.87 | |
Medica
| Professional | $1,862.09 | $1,862.09 | $3,890.45 | |
Sanford Health Plan
| Professional | $1,023.29 | $1,412.54 | $1,412.54 |