| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $275.42 | $426.58 | |
United
| Professional | $354.81 | $407.38 | $1,122.02 |
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $275.42 | $426.58 | |
United
| Professional | $354.81 | $407.38 | $1,122.02 |