| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,456.54 | $7,943.28 | $10,000.00 |
New Technology - Level 36 ($9001-$9500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,456.54 | $7,943.28 | $10,000.00 |