| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sanford Health Plan
| Facility | $950.00 | $950.00 | $950.00 |
Other Antepartum Diagnoses W Medical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sanford Health Plan
| Facility | $950.00 | $950.00 | $950.00 |