| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $14,148.27 | $14,636.14 | $14,636.14 |
New Technology - Level 32 ($7001-$7500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $14,148.27 | $14,636.14 | $14,636.14 |