| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $44,723.44 | $44,723.44 | $51,431.95 |
New Technology - Level 43 ($40,001-$50,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $44,723.44 | $44,723.44 | $51,431.95 |