| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $912.01 | $1,047.13 | $1,288.25 | |
Medica
| Facility | $645.65 | $851.14 | $1,047.13 | |
Medica
| Professional | $6,309.57 | $6,309.57 | $6,309.57 | |
Sanford Health Plan
| Professional | $562.34 | $562.34 | $630.96 |