| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $199.53 | $251.19 | $630.96 | |
Medica
| Facility | $151.36 | $331.13 | $575.44 | |
Medica
| Professional | $891.25 | $891.25 | $2,570.40 | |
Sanford Health Plan
| Professional | $194.98 | $281.84 | $371.54 |