| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,288.25 | $1,288.25 | $2,398.83 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Radiology - Diagnostic - Arteriography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,288.25 | $1,288.25 | $2,398.83 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |