| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $74.13 | $93.33 | $114.82 | |
Medica
| Facility | $64.57 | $69.18 | $120.23 | |
Medica
| Professional | $239.88 | $239.88 | $239.88 | |
Sanford Health Plan
| Professional | $51.29 | $57.54 | $70.79 |