| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $95,499.26 | $120,226.44 | $147,910.84 |
New Technology - Level 51 ($130,001-$145,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $95,499.26 | $120,226.44 | $147,910.84 |