| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,430.72 | $1,612.51 | $1,928.65 |
New Technology - Level 19 ($1701-$1800)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,430.72 | $1,612.51 | $1,928.65 |
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