| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $56.23 | $93.33 | $114.82 | |
Medica
| Facility | $54.95 | $117.49 | $165.96 | |
Sanford Health Plan
| Professional | $72.44 | $72.44 | $79.43 |