| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,291.33 | $4,836.62 | $5,784.86 |
New Technology - Level 28 ($5001-$5500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,291.33 | $4,836.62 | $5,784.86 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.