| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $121,746.28 | $121,746.28 | $140,008.22 |
New Technology - Level 50 ($115,001-$130,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $121,746.28 | $121,746.28 | $140,008.22 |