| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Cigna
| Professional | $977.24 | $1,230.27 | $1,513.56 | |
Medica
| Professional | $3,801.89 | $3,801.89 | $3,801.89 | |
Sanford Health Plan
| Professional | $776.25 | $954.99 | $1,122.02 |