| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,995.26 | $1,995.26 | $2,511.89 | |
Medica
| Facility | $912.01 | $1,659.59 | $2,398.83 | |
Medica
| Professional | $4,073.80 | $4,073.80 | $4,073.80 | |
Sanford Health Plan
| Professional | $1,023.29 | $1,318.26 | $1,548.82 |