| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $630.96 | $630.96 | $794.33 | |
Medica
| Facility | $467.74 | $645.65 | $645.65 | |
Medica
| Professional | $4,168.69 | $4,168.69 | $4,168.69 | |
Sanford Health Plan
| Professional | $426.58 | $446.68 | $512.86 |