| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,801.89 | $3,801.89 | $4,786.30 | |
Medica
| Facility | $2,454.71 | $2,570.40 | $3,890.45 | |
Medica
| Professional | $8,317.64 | $8,317.64 | $8,317.64 | |
Sanford Health Plan
| Professional | $2,137.96 | $2,187.76 | $2,187.76 |