| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $107,151.93 | $134,896.29 | $190,546.07 |
New Technology - Level 50 ($115,001-$130,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $107,151.93 | $134,896.29 | $190,546.07 |
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