| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $194.98 | $245.47 | |
Medica
| Facility | $134.90 | $426.58 | $912.01 | |
Medica
| Professional | $2,951.21 | $2,951.21 | $2,951.21 | |
Sanford Health Plan
| Professional | $144.54 | $147.91 | $380.19 |