| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,739.73 | $1,739.73 | $2,000.68 |
New Technology - Level 19 ($1701-$1800)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,739.73 | $1,739.73 | $2,000.68 |