| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $993.80 | $2,075.87 | $3,519.67 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
CT Scan-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $993.80 | $2,075.87 | $3,519.67 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |