| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,348.98 | $1,520.39 | $1,818.47 |
New Technology - Level 18 ($1601-$1700)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,348.98 | $1,520.39 | $1,818.47 |
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