| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.60 | $20.42 | $34.67 | |
Medica
| Facility | $16.98 | $20.89 | $39.81 | |
Medica
| Professional | $107.15 | $107.15 | $107.15 | |
Sanford Health Plan
| Professional | $17.38 | $23.99 | $38.02 |