| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $645.65 | $831.76 | $870.96 | |
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 | $645.65 | $831.76 | $870.96 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |