| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $86.30 | $337.45 | $2,427.33 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Treatment/Observation Room - Treatment Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $86.30 | $337.45 | $2,427.33 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |