| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28,606.52 | $32,241.48 | $38,562.61 |
New Technology - Level 42 ($30,001-$40,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28,606.52 | $32,241.48 | $38,562.61 |
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