| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,519.76 | $5,706.53 | $7,930.51 | |
Health Partners
| Facility | $4,074.09 | $5,038.58 | $6,460.60 |
New Technology - Level 28 ($5001-$5500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,519.76 | $5,706.53 | $7,930.51 | |
Health Partners
| Facility | $4,074.09 | $5,038.58 | $6,460.60 |