| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,384.34 | $6,384.34 | $7,980.42 |
New Technology - Level 34 ($8001-$8500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,384.34 | $6,384.34 | $7,980.42 |