| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $106,838.63 | $106,838.63 | $122,864.43 |
New Technology - Level 49 ($100,001-$115,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $106,838.63 | $106,838.63 | $122,864.43 |