| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $831.76 | $1,047.13 | $1,318.26 | |
Medica
| Facility | $478.63 | $588.84 | $1,023.29 | |
Medica
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Sanford Health Plan
| Professional | $457.09 | $588.84 | $812.83 |