| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $223.87 | $275.42 | $398.11 | |
Health Partners
| Facility | $213.80 | $251.19 | $316.23 |
New Technology - Level 4 ($201 - $300)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $223.87 | $275.42 | $398.11 | |
Health Partners
| Facility | $213.80 | $251.19 | $316.23 |