| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,771.24 | $6,771.24 | $8,464.04 |
New Technology - Level 35 ($8501-$9000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,771.24 | $6,771.24 | $8,464.04 |