| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,259.10 | $5,303.55 | $6,629.44 |
New Technology - Level 30 ($6001-$6500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,259.10 | $5,303.55 | $6,629.44 |