| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $162.18 | $204.17 | $1,445.44 | |
Medica
| Facility | $33.88 | $416.87 | $1,202.26 | |
Medica
| Professional | $4,265.80 | $4,265.80 | $4,265.80 | |
Sanford Health Plan
| Professional | $114.82 | $616.60 | $831.76 |