| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,288.25 | $1,584.89 | $1,995.26 | |
Medica
| Facility | $707.95 | $933.25 | $1,548.82 | |
Medica
| Professional | $5,011.87 | $5,011.87 | $5,011.87 | |
Sanford Health Plan
| Professional | $831.76 | $831.76 | $954.99 |