| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $38.90 | $97.72 | $223.87 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Laboratory-Other Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $38.90 | $97.72 | $223.87 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |