| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $354.81 | $446.68 | |
Medica
| Facility | $169.82 | $239.88 | $389.05 | |
Medica
| Professional | $1,862.09 | $1,862.09 | $1,862.09 | |
Sanford Health Plan
| Professional | $190.55 | $218.78 | $218.78 |