| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,964.78 | $13,803.84 | $19,498.45 |
New Technology - Level 38 ($10,001-$15,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,964.78 | $13,803.84 | $19,498.45 |
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