| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,570.40 | $3,090.30 | $4,168.69 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
MRI - Brain (Including Brainstem)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,570.40 | $3,090.30 | $4,168.69 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |