| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $83,176.38 | $83,176.38 | $104,712.85 |
New Technology - Level 49 ($100,001-$115,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $83,176.38 | $83,176.38 | $104,712.85 |