| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $301.72 | $380.94 | $529.40 | |
Health Partners
| Facility | $271.97 | $336.35 | $431.28 |
New Technology - Level 5 ($301 - $400)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $301.72 | $380.94 | $529.40 | |
Health Partners
| Facility | $271.97 | $336.35 | $431.28 |