| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.09 | $302.00 | $676.08 | |
Medica
| Facility | $181.97 | $338.84 | $630.96 | |
Medica
| Professional | $1,023.29 | $1,023.29 | $3,019.95 | |
Sanford Health Plan
| Professional | $229.09 | $295.12 | $407.38 |