| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,888.44 | $7,413.10 | $10,471.29 |
New Technology - Level 31 ($6501-$7000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,888.44 | $7,413.10 | $10,471.29 |
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