| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Geisinger
| Facility | $9,332.54 | $12,302.69 | $14,454.40 |
New Technology - Level 26 ($4001-$4500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Geisinger
| Facility | $9,332.54 | $12,302.69 | $14,454.40 |