| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $275.10 | $405.89 | $568.51 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Administration, Processing and Storage for Blood and Blood Components-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $275.10 | $405.89 | $568.51 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |