| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19,952.62 | $26,302.68 | $50,118.72 |
New Technology - Level 40 ($20,001-$25,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19,952.62 | $26,302.68 | $50,118.72 |
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