| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,071.52 | $1,071.52 | $1,348.96 | |
Medica
| Facility | $575.44 | $724.44 | $1,096.48 | |
Medica
| Professional | $4,365.16 | $4,365.16 | $4,365.16 | |
Sanford Health Plan
| Professional | $588.84 | $616.60 | $870.96 |