| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,893.89 | $1,893.89 | $1,893.89 |
New Technology - Level 20 ($1801-$1900)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,893.89 | $1,893.89 | $1,893.89 |