| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $169.82 | $933.25 | $1,479.11 | |
Medica
| Facility | $181.97 | $380.19 | $1,445.44 | |
Medica
| Professional | $954.99 | $3,162.28 | $3,162.28 | |
Sanford Health Plan
| Professional | $309.03 | $870.96 | $954.99 |