| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,403.96 | $12,788.31 | $16,511.62 | |
Providence
| Facility | $9,403.96 | $12,788.31 | $22,525.79 |
New Technology - Level 37 ($9501-$10000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,403.96 | $12,788.31 | $16,511.62 | |
Providence
| Facility | $9,403.96 | $12,788.31 | $22,525.79 |