| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,079.46 | $7,079.46 | $8,912.51 |
New Technology - Level 36 ($9001-$9500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,079.46 | $7,079.46 | $8,912.51 |