| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $309.03 | $389.05 | $562.34 | |
Health Partners
| Facility | $295.12 | $346.74 | $436.52 |
New Technology - Level 5 ($301 - $400)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $309.03 | $389.05 | $562.34 | |
Health Partners
| Facility | $295.12 | $346.74 | $436.52 |