| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,437.54 | $9,437.54 | $10,314.29 |
New Technology - Level 19 ($1701-$1800)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,437.54 | $9,437.54 | $10,314.29 |