| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.44 | $87.44 | $87.44 |
Midlands
| Facility | 26 | $278.02 | $278.02 | $278.02 |
Sanford Health Plan
| Professional | 26 | $106.36 | $143.55 | $163.66 |
Mra Spinal Canal W/Wo Contrast Material
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.44 | $87.44 | $87.44 |
Midlands
| Facility | 26 | $278.02 | $278.02 | $278.02 |
Sanford Health Plan
| Professional | 26 | $106.36 | $143.55 | $163.66 |