| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $22,476.65 | $25,332.70 | $30,299.31 |
New Technology - Level 41 ($25,001-$30,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $22,476.65 | $25,332.70 | $30,299.31 |
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