| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $46.77 | $57.54 | $72.44 | |
Medica
| Facility | $39.81 | $41.69 | $69.18 | |
Medica
| Professional | $162.18 | $162.18 | $162.18 | |
Sanford Health Plan
| Professional | $31.62 | $31.62 | $43.65 |