| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $152.88 | $152.88 | $976.16 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Nuclear Medicine - Diagnostic Radiopharmaceuticals
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $152.88 | $152.88 | $976.16 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |