| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,690.45 | $9,690.45 | $11,144.03 |
New Technology - Level 37 ($9501-$10000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,690.45 | $9,690.45 | $11,144.03 |