| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $50,000.00 | $50,000.00 | $50,000.00 |
New Technology - Level 52 ($145,001-$160,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $50,000.00 | $50,000.00 | $50,000.00 |
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