| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.42 | $40.74 | $56.23 | |
Medica
| Professional | $25.12 | $131.83 | $131.83 | |
Sanford Health Plan
| Professional | $23.99 | $32.36 | $46.77 | |
United
| Facility | $11.48 | $11.48 | $11.48 |