| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,238.72 | $6,606.93 | $6,606.93 |
New Technology - Level 20 ($1801-$1900)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,238.72 | $6,606.93 | $6,606.93 |