| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $776.25 | $2,290.87 | $2,290.87 |
New Technology - Level 8 ($601 - $700)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $776.25 | $2,290.87 | $2,290.87 |