| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,342.87 | $6,561.59 | $6,561.59 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,342.87 | $6,561.59 | $6,561.59 |