| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,445.44 | $1,819.70 | $2,570.40 |
New Technology - Level 18 ($1601-$1700)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,445.44 | $1,819.70 | $2,570.40 |
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