| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25,450.62 | $25,450.62 | $34,313.62 |
New Technology - Level 32 ($7001-$7500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25,450.62 | $25,450.62 | $34,313.62 |