| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $812.83 | $1,348.96 | $1,621.81 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Nursery-General
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $812.83 | $1,348.96 | $1,621.81 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |