| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,093.14 | $1,093.14 | $1,093.14 | |
Providence
| Facility | $540.75 | $1,626.95 | $1,666.01 |
Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,093.14 | $1,093.14 | $1,093.14 | |
Providence
| Facility | $540.75 | $1,626.95 | $1,666.01 |