| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $630.96 | $630.96 | $630.96 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $724.44 | $724.44 | $794.33 |
Behavioral Health Accommodations-Residential-Chemical Dependency
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $630.96 | $630.96 | $630.96 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $724.44 | $724.44 | $794.33 |