| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $645.65 | $812.83 | $1,174.90 |
New Technology - Level 9 ($701 - $800)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $645.65 | $812.83 | $1,174.90 |
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