| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,415.85 | $3,533.63 | $3,533.63 |
New Technology - Level 19 ($1701-$1800)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,415.85 | $3,533.63 | $3,533.63 |