| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $916.72 | $1,246.63 | $1,609.58 | |
Providence
| Facility | $916.72 | $1,246.63 | $2,195.86 |
New Technology - Level 11 ($901 - $1000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $916.72 | $1,246.63 | $1,609.58 | |
Providence
| Facility | $916.72 | $1,246.63 | $2,195.86 |