| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $50.12 | $63.10 | $77.62 | |
Medica
| Facility | $42.66 | $54.95 | $81.28 | |
Medica
| Professional | $575.44 | $575.44 | $575.44 | |
Sanford Health Plan
| Professional | $38.02 | $40.74 | $46.77 |