| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,223.62 | $5,223.62 | $6,529.52 |
New Technology - Level 31 ($6501-$7000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,223.62 | $5,223.62 | $6,529.52 |