| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,548.82 | $4,677.35 | $5,623.41 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Room & Board - Private - Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,548.82 | $4,677.35 | $5,623.41 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |