| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,134.98 | $4,263.21 | $5,504.45 | |
Providence
| Facility | $3,134.98 | $4,263.21 | $7,509.38 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,134.98 | $4,263.21 | $5,504.45 | |
Providence
| Facility | $3,134.98 | $4,263.21 | $7,509.38 |