| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74,131.02 | $74,131.02 | $91,201.08 |
New Technology - Level 48 ($90,001-$100,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74,131.02 | $74,131.02 | $91,201.08 |