| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Geisinger
| Facility | $1,000.00 | $1,288.25 | $1,513.56 |
New Technology - Level 6 ($401 - $500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Geisinger
| Facility | $1,000.00 | $1,288.25 | $1,513.56 |