| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,148.15 | $1,148.15 | $1,445.44 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
Medica
| Facility | $954.99 | $954.99 | $954.99 | |
Sanford Health Plan
| Professional | $933.25 | $933.25 | $933.25 |