| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $21.51 | $56.02 | $267.23 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $21.51 | $56.02 | $267.23 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |