| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $93,325.43 | $117,489.76 | $165,958.69 |
New Technology - Level 49 ($100,001-$115,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $93,325.43 | $117,489.76 | $165,958.69 |
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