| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $47.86 | $58.88 | $74.13 | |
Medica
| Facility | $45.71 | $47.86 | $81.28 | |
Medica
| Professional | $186.21 | $186.21 | $186.21 | |
Sanford Health Plan
| Professional | $35.48 | $35.48 | $44.67 |