| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,367.69 | $2,989.39 | $4,154.43 | |
Health Partners
| Facility | $2,134.23 | $2,639.48 | $3,384.41 |
New Technology - Level 23 ($2501-$3000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,367.69 | $2,989.39 | $4,154.43 | |
Health Partners
| Facility | $2,134.23 | $2,639.48 | $3,384.41 |