| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $66.07 | $83.18 | $104.71 | |
Medica
| Facility | $56.23 | $58.88 | $97.72 | |
Medica
| Professional | $194.98 | $194.98 | $194.98 | |
Sanford Health Plan
| Professional | $44.67 | $51.29 | $61.66 |