| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $11,409.88 | $11,409.88 | $15,383.29 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $11,409.88 | $11,409.88 | $15,383.29 |