| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $904.30 | $1,141.74 | $1,586.71 | |
Health Partners
| Facility | $815.13 | $1,008.10 | $1,292.60 |
New Technology - Level 12 ($1001 - $1100)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $904.30 | $1,141.74 | $1,586.71 | |
Health Partners
| Facility | $815.13 | $1,008.10 | $1,292.60 |