| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $66.07 | $83.18 | $102.33 | |
Medica
| Facility | $48.98 | $51.29 | $93.33 | |
Medica
| Professional | $199.53 | $199.53 | $199.53 | |
Sanford Health Plan
| Professional | $38.02 | $46.77 | $61.66 |