| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $87,862.05 | $99,026.46 | $118,441.15 |
New Technology - Level 49 ($100,001-$115,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $87,862.05 | $99,026.46 | $118,441.15 |
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