| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.00 | $18.00 | $18.00 |
Sanford Health Plan
| Professional | 26 | $21.88 | $28.37 | $32.96 |
Kidney Funcj Study Non-Img Radioisotopic Study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.00 | $18.00 | $18.00 |
Sanford Health Plan
| Professional | 26 | $21.88 | $28.37 | $32.96 |