| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $39.32 | $95.25 | $224.46 | |
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 | $39.32 | $95.25 | $224.46 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |