| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,128.31 | $10,000.00 | $14,454.40 |
New Technology - Level 36 ($9001-$9500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,128.31 | $10,000.00 | $14,454.40 |
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