| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,709.64 | $8,709.64 | $10,000.00 |
New Technology - Level 35 ($8501-$9000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,709.64 | $8,709.64 | $10,000.00 |