| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.96 | $5,834.83 | $9,649.76 | |
Cigna
| Facility | $5,040.18 | $5,040.18 | $5,040.18 | |
Kaiser Permanente
| Professional | $717.82 | $954.70 | $1,754.63 |
Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.96 | $5,834.83 | $9,649.76 | |
Cigna
| Facility | $5,040.18 | $5,040.18 | $5,040.18 | |
Kaiser Permanente
| Professional | $717.82 | $954.70 | $1,754.63 |