| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $640.97 | $712.01 | $862.28 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Other Imaging Services - Ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $640.97 | $712.01 | $862.28 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |