| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,290.66 | $7,290.66 | $7,290.66 | |
Priority Health
| Facility | $7,290.66 | $7,290.66 | $7,290.66 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,290.66 | $7,290.66 | $7,290.66 | |
Priority Health
| Facility | $7,290.66 | $7,290.66 | $7,290.66 |