| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39,810.72 | $50,118.72 | $61,659.50 |
New Technology - Level 43 ($40,001-$50,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39,810.72 | $50,118.72 | $61,659.50 |
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