| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $118,006.64 | $118,006.64 | $147,508.29 |
New Technology - Level 52 ($145,001-$160,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $118,006.64 | $118,006.64 | $147,508.29 |