| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,511.38 | $10,715.19 | $15,135.61 |
New Technology - Level 37 ($9501-$10000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,511.38 | $10,715.19 | $15,135.61 |
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