| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,248.63 | $1,576.49 | $2,190.88 | |
Health Partners
| Facility | $1,125.51 | $1,391.96 | $1,784.80 |
New Technology - Level 16 ($1401 - $1500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,248.63 | $1,576.49 | $2,190.88 | |
Health Partners
| Facility | $1,125.51 | $1,391.96 | $1,784.80 |