| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $215.20 | $215.20 | $292.70 | |
United
| Professional | $352.91 | $409.30 | $1,116.41 |
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 | $215.20 | $215.20 | $292.70 | |
United
| Professional | $352.91 | $409.30 | $1,116.41 |