| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,517.87 | $10,606.69 | $13,258.37 |
New Technology - Level 38 ($10,001-$15,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,517.87 | $10,606.69 | $13,258.37 |