| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $142.36 | $379.26 | $843.79 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Radiology - Diagnostic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $142.36 | $379.26 | $843.79 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |