| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.47 | $34.47 | $34.47 |
Sanford Health Plan
| Professional | 26 | $45.84 | $58.27 | $66.66 |
Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.47 | $34.47 | $34.47 |
Sanford Health Plan
| Professional | 26 | $45.84 | $58.27 | $66.66 |