| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,658.93 | $4,619.67 | $6,420.08 | |
Health Partners
| Facility | $3,298.14 | $4,078.94 | $5,230.12 |
New Technology - Level 26 ($4001-$4500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,658.93 | $4,619.67 | $6,420.08 | |
Health Partners
| Facility | $3,298.14 | $4,078.94 | $5,230.12 |