| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,760.83 | $8,511.38 | $12,022.64 |
New Technology - Level 33 ($7501-$8000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,760.83 | $8,511.38 | $12,022.64 |
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