| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17,524.56 | $17,524.56 | $19,152.56 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17,524.56 | $17,524.56 | $19,152.56 |