| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $407.38 | $645.65 | $812.83 | |
Medica
| Facility | $302.00 | $457.09 | $676.08 | |
Medica
| Professional | $2,187.76 | $2,187.76 | $2,187.76 | |
Sanford Health Plan
| Professional | $354.81 | $354.81 | $354.81 |