| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $524.04 | $560.62 | $1,526.69 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Blood Storage & Processing - Blood Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $524.04 | $560.62 | $1,526.69 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |