| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,206.06 | $1,640.10 | $2,117.61 | |
Providence
| Facility | $1,206.06 | $1,640.10 | $2,888.92 |
New Technology - Level 14 ($1201- $1300)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,206.06 | $1,640.10 | $2,117.61 | |
Providence
| Facility | $1,206.06 | $1,640.10 | $2,888.92 |