| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,513.56 | $1,905.46 | $2,691.53 |
New Technology - Level 19 ($1701-$1800)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,513.56 | $1,905.46 | $2,691.53 |
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