| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $165.96 | $204.17 | $257.04 | |
Medica
| Facility | $269.15 | $269.15 | $501.19 | |
Medica
| Professional | $1,148.15 | $1,148.15 | $1,148.15 | |
Sanford Health Plan
| Professional | $131.83 | $151.36 | $208.93 |