| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,311.31 | $3,311.31 | $7,079.46 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,311.31 | $3,311.31 | $7,079.46 |