| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.31 | $6.31 | $7.94 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $10.00 | $10.00 | $10.00 | |
Sanford Health Plan
| Professional | $13.18 | $13.18 | $13.18 |