| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,677.35 | $5,754.40 | $8,317.64 | |
Health Partners
| Facility | $4,466.84 | $5,248.07 | $6,606.93 |
New Technology - Level 28 ($5001-$5500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,677.35 | $5,754.40 | $8,317.64 | |
Health Partners
| Facility | $4,466.84 | $5,248.07 | $6,606.93 |