| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $181.97 | $199.53 | |
Medica
| Professional | $457.09 | $457.09 | $457.09 | |
Sanford Health Plan
| Professional | $104.71 | $112.20 | $154.88 | |
United
| Professional | $97.72 | $97.72 | $97.72 |