| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,784.73 | $2,427.03 | $3,133.66 | |
Providence
| Facility | $1,784.73 | $2,427.03 | $4,275.06 |
New Technology - Level 20 ($1801-$1900)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,784.73 | $2,427.03 | $3,133.66 | |
Providence
| Facility | $1,784.73 | $2,427.03 | $4,275.06 |