| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $68.70 | $682.11 | $1,780.44 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Labor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $68.70 | $682.11 | $1,780.44 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |