| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,280.21 | $21,280.21 | $26,600.26 |
New Technology - Level 41 ($25,001-$30,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,280.21 | $21,280.21 | $26,600.26 |