| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,691.53 | $3,801.89 | $25,118.86 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Intensive Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,691.53 | $3,801.89 | $25,118.86 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |