| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,630.27 | $2,951.21 | $3,715.35 | |
Medica
| Facility | $1,621.81 | $1,737.80 | $2,630.27 | |
Medica
| Professional | $6,025.60 | $6,025.60 | $6,025.60 | |
Sanford Health Plan
| Professional | $1,380.38 | $1,905.46 | $2,187.76 |