| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,000.00 | $1,096.48 | $2,951.21 | |
Providence
| Facility | $1,000.00 | $1,479.11 | $50,118.72 |
New Technology - Level 23 ($2501-$3000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,000.00 | $1,096.48 | $2,951.21 | |
Providence
| Facility | $1,000.00 | $1,479.11 | $50,118.72 |