| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $990.38 | $1,250.43 | $1,737.75 | |
Health Partners
| Facility | $892.72 | $1,104.07 | $1,415.66 |
New Technology - Level 13 ($1101 - $1200)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $990.38 | $1,250.43 | $1,737.75 | |
Health Partners
| Facility | $892.72 | $1,104.07 | $1,415.66 |