| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,456.54 | $8,317.64 | $15,135.61 |
New Technology - Level 32 ($7001-$7500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,456.54 | $8,317.64 | $15,135.61 |
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