| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,992.82 | $9,509.43 | $12,278.10 | |
Providence
| Facility | $6,992.82 | $9,509.43 | $16,750.25 |
New Technology - Level 32 ($7001-$7500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,992.82 | $9,509.43 | $12,278.10 | |
Providence
| Facility | $6,992.82 | $9,509.43 | $16,750.25 |