| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,562.34 | $3,074.28 | $4,138.77 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Magnetic Resonance Technology (MRT)-MRI-Brain/Brain Stem
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,562.34 | $3,074.28 | $4,138.77 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |