| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $23,849.44 | $29,697.96 | $37,122.46 |
New Technology - Level 42 ($30,001-$40,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $23,849.44 | $29,697.96 | $37,122.46 |