| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sanford Health Plan
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |
Other Ear Nose Mouth Throat O R Procedures W O Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sanford Health Plan
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |