| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,124.66 | $1,400.45 | $1,750.56 |
New Technology - Level 18 ($1601-$1700)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,124.66 | $1,400.45 | $1,750.56 |