| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $129.55 | $163.57 | $227.32 | |
Health Partners
| Facility | $116.78 | $144.43 | $185.19 |
New Technology - Level 3 ($101 - $200)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $129.55 | $163.57 | $227.32 | |
Health Partners
| Facility | $116.78 | $144.43 | $185.19 |