| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,801.89 | $4,677.35 | $6,760.83 | |
Health Partners
| Facility | $3,630.78 | $4,265.80 | $5,370.32 |
New Technology - Level 26 ($4001-$4500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,801.89 | $4,677.35 | $6,760.83 | |
Health Partners
| Facility | $3,630.78 | $4,265.80 | $5,370.32 |