| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,429.44 | $2,429.44 | $2,998.47 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Magnetic Resonance Technology (MRT)-MRI-Spinal Cord/Spine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,429.44 | $2,429.44 | $2,998.47 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |