| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,642.78 | $5,380.05 | |
BCBS
| Facility | $9,255.62 | $11,204.67 | $15,073.87 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |
Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,642.78 | $5,380.05 | |
BCBS
| Facility | $9,255.62 | $11,204.67 | $15,073.87 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |