| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $239.91 | $436.71 | $1,864.30 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $239.91 | $436.71 | $1,864.30 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |