| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,199.70 | $8,199.70 | $9,429.66 |
New Technology - Level 34 ($8001-$8500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,199.70 | $8,199.70 | $9,429.66 |