| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $136.37 | $303.07 | $1,159.71 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Respiratory Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $136.37 | $303.07 | $1,159.71 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |