| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $22,387.21 | $22,387.21 | $25,703.96 |
New Technology - Level 40 ($20,001-$25,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $22,387.21 | $22,387.21 | $25,703.96 |