| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $106.25 | $169.01 | $344.39 | |
Midlands
| Facility | $234.00 | $289.66 | $342.45 | |
Sanford Health Plan
| Professional | $161.49 | $201.60 | $270.39 |
Compl Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $106.25 | $169.01 | $344.39 | |
Midlands
| Facility | $234.00 | $289.66 | $342.45 | |
Sanford Health Plan
| Professional | $161.49 | $201.60 | $270.39 |