| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $27,331.19 | $27,331.19 | $31,430.87 |
New Technology - Level 41 ($25,001-$30,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $27,331.19 | $27,331.19 | $31,430.87 |