| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $58.88 | $72.44 | $91.20 | |
Medica
| Facility | $43.65 | $50.12 | $87.10 | |
Medica
| Professional | $173.78 | $173.78 | $173.78 | |
Sanford Health Plan
| Professional | $33.88 | $45.71 | $54.95 |