| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $84,477.17 | $84,477.17 | $97,148.74 |
New Technology - Level 47 ($80,001-$90,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $84,477.17 | $84,477.17 | $97,148.74 |