| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $215.64 | $272.26 | $378.37 | |
Health Partners
| Facility | $194.38 | $240.39 | $308.24 |
New Technology - Level 4 ($201 - $300)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $215.64 | $272.26 | $378.37 | |
Health Partners
| Facility | $194.38 | $240.39 | $308.24 |