| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74,131.02 | $74,131.02 | $85,113.80 |
New Technology - Level 46 ($70,001-$80,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74,131.02 | $74,131.02 | $85,113.80 |