| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $146.61 | $146.61 | $146.61 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Incremental Nursing Care Rate-Nursery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $146.61 | $146.61 | $146.61 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |