| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,331.91 | $19,091.70 | $23,864.63 |
New Technology - Level 40 ($20,001-$25,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,331.91 | $19,091.70 | $23,864.63 |