| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,621.81 | $2,041.74 | $2,570.40 | |
Medica
| Facility | $1,202.26 | $1,348.96 | $2,290.87 | |
Medica
| Professional | $7,585.78 | $7,585.78 | $7,585.78 | |
Sanford Health Plan
| Professional | $977.24 | $977.24 | $977.24 |