| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.57 | $83.57 | $83.57 |
Midlands
| Facility | 26 | $272.33 | $272.33 | $272.33 |
Sanford Health Plan
| Professional | 26 | $105.97 | $137.88 | $157.19 |
Mri Chest W/Contrast Material
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.57 | $83.57 | $83.57 |
Midlands
| Facility | 26 | $272.33 | $272.33 | $272.33 |
Sanford Health Plan
| Professional | 26 | $105.97 | $137.88 | $157.19 |