| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $136,653.93 | $136,653.93 | $157,152.01 |
New Technology - Level 51 ($130,001-$145,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $136,653.93 | $136,653.93 | $157,152.01 |