| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $251.19 | $316.23 | $398.11 | |
Medica
| Facility | $213.80 | $758.58 | $1,659.59 | |
Medica
| Professional | $5,370.32 | $5,370.32 | $5,370.32 | |
Sanford Health Plan
| Professional | $223.87 | $229.09 | $707.95 |