| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $26,915.35 | $26,915.35 | $33,884.42 |
New Technology - Level 42 ($30,001-$40,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $26,915.35 | $26,915.35 | $33,884.42 |