| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $794.33 | $794.33 | $794.33 | |
Geisinger
| Facility | $562.34 | $1,000.00 | $1,202.26 |
New Technology - Level 5 ($301 - $400)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $794.33 | $794.33 | $794.33 | |
Geisinger
| Facility | $562.34 | $1,000.00 | $1,202.26 |