| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $26,523.16 | $36,068.41 | $46,569.73 | |
Providence
| Facility | $26,523.16 | $36,068.41 | $50,000.00 |
New Technology - Level 41 ($25,001-$30,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $26,523.16 | $36,068.41 | $46,569.73 | |
Providence
| Facility | $26,523.16 | $36,068.41 | $50,000.00 |