| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $251.19 | $316.23 | $389.05 | |
Medica
| Facility | $208.93 | $741.31 | $1,905.46 | |
Medica
| Professional | $6,309.57 | $6,309.57 | $6,309.57 | |
Sanford Health Plan
| Professional | $213.80 | $229.09 | $724.44 |