| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,663.46 | $38,182.98 | $47,728.72 |
New Technology - Level 43 ($40,001-$50,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,663.46 | $38,182.98 | $47,728.72 |