| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74,131.02 | $93,325.43 | $131,825.67 |
New Technology - Level 47 ($80,001-$90,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74,131.02 | $93,325.43 | $131,825.67 |
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