| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $172.26 | $1,932.02 | $15,485.16 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Operating Room Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $172.26 | $1,932.02 | $15,485.16 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |