| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,673.03 | $9,673.03 | $12,091.29 |
New Technology - Level 38 ($10,001-$15,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,673.03 | $9,673.03 | $12,091.29 |