| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,699.98 | $5,297.20 | $6,335.74 |
New Technology - Level 29 ($5501-$6000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,699.98 | $5,297.20 | $6,335.74 |
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