| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,456.54 | $6,456.54 | $7,943.28 |
New Technology - Level 34 ($8001-$8500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,456.54 | $6,456.54 | $7,943.28 |