| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $106,399.47 | $106,399.47 | $132,999.34 |
New Technology - Level 51 ($130,001-$145,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $106,399.47 | $106,399.47 | $132,999.34 |