| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $61.61 | $101.86 | $191.50 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Laboratory - Immunology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $61.61 | $101.86 | $191.50 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |