| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Nursery-Newborn-Level IV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |