| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $151,356.12 | $151,356.12 | $173,780.08 |
New Technology - Level 52 ($145,001-$160,000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $151,356.12 | $151,356.12 | $173,780.08 |